Individual
CHARLENE AMANDA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 588-4710
(502) 588-4771
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710
(502) 588-4771
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN3017999
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300069833
—
IN
05
—
7100824040
—
KY
Enumeration date
06/29/2022
Last updated
11/11/2025
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