Sandoval, Anette Marie

Sandoval, Anette Marie is an individual health care provider with primary practice located at 330 E Hibiscus Blvd , Melbourne FL 32901-3155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sandoval, Anette Marie can be contacted via phone (321) 724-2229.

Contact Information

Primary practice address
330 E Hibiscus Blvd Melbourne FL 32901-3155
Phone: (321) 724-2229
Fax: (321) 728-6668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP3257842 Florida

Profile Details

NPI number 1023274438
LBN Legal business name Sandoval, Anette Marie
Credentials ARNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2008
Last updated Aug 18th, 2022 - about 2 years ago

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 1023274438 NPPES
Florida MEDICAID 001114800

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