Provider Demographics
NPI:1154791119
Name:GOLASZEWSKI, SANDRA (CNM)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:GOLASZEWSKI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 SPANISH WOOD DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6261
Mailing Address - Country:US
Mailing Address - Phone:361-389-0609
Mailing Address - Fax:
Practice Address - Street 1:7001 SPANISH WOOD DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-6261
Practice Address - Country:US
Practice Address - Phone:361-389-0609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-03
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife