Individual
TEENA YVONNE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
150 5TH AVE STE C, INDIALANTIC, FL 32903-3167
(321) 821-4882
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3178122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3043592 00
—
FL
Enumeration date
10/04/2006
Last updated
10/30/2023
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