Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN218482 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9218482 | FL |
NPI | 1003109661 |
---|---|
Provider Name | Sandra L Armstrong |
First Address | Palm Bay, FL 32907-2940 |
Second Address | Malabar, FL 32950-3140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2011 |
Last Update Date | 02/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FF532X | MEDICARE (01) | FL |