Healthcare Provider Details

I. General information

NPI: 1528823564
Provider Name (Legal Business Name): SANDRA LOWRY COLLINS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SANDRA LYNN LOWRY APRN

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2464 SW 22ND ST
MIAMI FL
33145-3419
US

IV. Provider business mailing address

2464 SW 22ND ST
MIAMI FL
33145-3419
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-9355
  • Fax: 305-640-8034
Mailing address:
  • Phone: 305-204-9355
  • Fax: 305-640-8034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11027510
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: