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NPI Code Detail

MEDICARE: SANDRA PATRICIA CARPENTER ARNP

MEDICARE:   SANDRA PATRICIA CARPENTER  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP3287112FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11372292OTHERCOVENTRY
29393932OTHERFLAETNA
338909OTHERBLUE CROSS
4363022OTHERFLAVMED

General Provider Information

NPI Number : 1699084392
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA PATRICIA CARPENTER ARNP
Provider Business Mailing Address
First Line : 4200 N ARMENIA AVE
Second Line : STE 1
City : TAMPA
State : FL
Zip : 33607-6438
Country : US
Telephone Number : 813-922-3703
Fax Number : 813-872-8978
Provider Business Practice Location Address
First Line : 4915 EHRLICH RD
Second Line :
City : TAMPA
State : FL
Zip : 33624-2038
Country : US
Telephone Number : 813-960-2400
Fax Number : 813-960-2410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2010
Last Update Date : 09/17/2013

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Directions to “ SANDRA PATRICIA CARPENTER ARNP” Practice Location

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