MEDICARE: DR. SANDRA FARNETI CORSETTI DNP, ARNP-BC

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
1	363LF0000X	Family Nurse Practitioner	ARNP 9286167	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP 9286167	OTHER	FL	ARNP

General Provider Information

NPI Number	:	1750485298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA FARNETI CORSETTI DNP, ARNP-BC

Provider Business Mailing Address
First Line	:	33670 US HWY 19N
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684
Country	:	US
Telephone Number	:	727-514-2114
Fax Number	:

Provider Business Practice Location Address
First Line	:	33343 US HIGHWAY 19 N
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3128
Country	:	US
Telephone Number	:	727-772-0150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	08/20/2015

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