Individual
SANDRA CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9452439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8VRAP
FLORIDA BLUE
FL
01
—
90802
CST NUMBER
FL
01
—
RN9452439
MEDICAL LICENSE
FL
Enumeration date
04/24/2007
Last updated
07/18/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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