Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | ARNP9232989 | FL |
NPI | 1003193012 |
---|---|
Provider Name | Paula Rene Sanders |
First Address | Sarasota, FL 34237-6102 |
Second Address | Sarasota, FL 34237-6102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2011 |
Last Update Date | 20/09/2014 |