Healthcare Provider Details

I. General information

NPI: 1891613667
Provider Name (Legal Business Name): RACHEL ANNE SANDERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL ANNE YUDELL LPN

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9209 SEMINOLE BLVD UNIT 164
SEMINOLE FL
33772-3134
US

IV. Provider business mailing address

9209 SEMINOLE BLVD UNIT 164
SEMINOLE FL
33772-3134
US

V. Phone/Fax

Practice location:
  • Phone: 727-452-4456
  • Fax:
Mailing address:
  • Phone: 727-452-4456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN9463931
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: