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NPI Code Detail

MEDICARE: MAUREEN SANDER ARNP

MEDICARE: MAUREEN SANDER 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
1363LF0000XFamily Nurse PractitionerARNP3238272FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740661420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN SANDER ARNP
Provider Business Mailing Address
First Line : 2100 CENTERVILLE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4379
Country : US
Telephone Number : 502-160-1008
Fax Number : 850-431-6315
Provider Business Practice Location Address
First Line : 2100 CENTERVILLE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4379
Country : US
Telephone Number : 850-216-0100
Fax Number : 850-431-6315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2015
Last Update Date : 07/10/2024

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