SANDA ST FORT, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1164017984
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | PN5234997 (FL) |
Frequently Asked Questions
NPI 1164017984 is the National Provider Identifier for SANDA ST FORT, LPN, a Licensed Practical Nurse provider located in Palm Bay, FL. This NPI was enumerated on March 3, 2021.
SANDA ST FORT, LPN practices at 351 BREAKWATER ST SE, Palm Bay, FL 32909.
Quick Facts
- NPI
- 1164017984
- Type
- Individual
- Enumerated
- Mar 3, 2021
- Last Updated
- Mar 3, 2021
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