Healthcare Provider Details

I. General information

NPI: 1487618955
Provider Name (Legal Business Name): SANDRA H LENHART CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 06/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 S TAMIAMI TRL
SARASOTA FL
34239-2219
US

IV. Provider business mailing address

2622 MAN OF WAR CIR
SARASOTA FL
34240-8862
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-5096
  • Fax: 941-366-3123
Mailing address:
  • Phone: 936-444-3773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9483603
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number542177
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: