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Individual

KRYSTA LAMAEGAN SANDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1560 MARDEN RIDGE LOOP APT 310, APOPKA, FL 32703-6926
(386) 215-1323
Mailing address
1560 MARDEN RIDGE LOOP APT 310, APOPKA, FL 32703-6926

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F03200149
FL
363LP2300X
Primary Care Nurse Practitioner
9366635
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000000
DONT HAVE NUMBER
Enumeration date
03/22/2020
Last updated
07/21/2022
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