Allen, Sandra L

Allen, Sandra L is an individual health care provider with primary practice located at 4771 S Cleveland Ave , Fort Myers FL 33907-1317. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Allen, Sandra L can be contacted via phone (239) 343-9800.

Contact Information

Primary practice address
4771 S Cleveland Ave Fort Myers FL 33907-1317
Phone: (239) 343-9800
Fax: (239) 343-9848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9387014 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11002345 Florida

Profile Details

NPI number 1003475377
LBN Legal business name Allen, Sandra L
Credentials APRN FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Feb 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003475377 NPPES
Florida MEDICAID 114923200

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