Healthcare Provider Details

I. General information

NPI: 1730644840
Provider Name (Legal Business Name): TRISHA LEAH SANDERS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRISHA LEAH WASHBURN FNP-C

II. Dates (important events)

Enumeration Date: 02/02/2019
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 N 9TH AVE STE 5
PENSACOLA FL
32504-8291
US

IV. Provider business mailing address

6202 N 9TH AVE STE 5
PENSACOLA FL
32504-8291
US

V. Phone/Fax

Practice location:
  • Phone: 850-462-9561
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2019005972
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11001541
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: