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1396509360 NPI number — ALBERTINA ELISA SANDERS FNP

NPI Number: 1396509360
Health Care Provider/Practitioner: ALBERTINA ELISA SANDERS FNP

Information about “1396509360” NPI (ALBERTINA ELISA SANDERS FNP) exists in 1396509360 in HTML format HTML  |  1396509360 in plain Text format TXT  |  1396509360 in PDF (Portable Document Format) PDF  |  1396509360 in an XML format XML  formats.

NPI Number : 1396509360 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396509360",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANDERS",
    "FirstName": "ALBERTINA",
    "MiddleName": "ELISA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALLEN",
    "OtherFirstName": "ALBERTINA",
    "OtherMiddleName": "ELISA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 1090",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARTSVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29551-1090",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-857-0111",
    "MailingAddressFaxNumber": "843-309-8126",
    "FirstLinePracticeLocationAddress": "1268 S 4TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARTSVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29550-0703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-332-3422",
    "PracticeLocationAddressFaxNumber": "843-332-3985",
    "EnumerationDate": "02/09/2024",
    "LastUpdateDate": "08/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "231414",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "28556",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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