Healthcare Provider Details

I. General information

NPI: 1558502237
Provider Name (Legal Business Name): SANDRA R ALMERICO APRN - ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 PARK AVE
MANDEVILLE LA
70448-4915
US

IV. Provider business mailing address

PO BOX 111
COVINGTON LA
70434-0111
US

V. Phone/Fax

Practice location:
  • Phone: 985-200-4726
  • Fax: 985-338-2902
Mailing address:
  • Phone: 985-200-4726
  • Fax: 985-338-2902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP05758
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: