Individual
NANDRA D. MANSARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
(954) 355-4797
Mailing address
PO BOX 744538, ATLANTA, GA 30374-4538
(800) 296-2611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN3201622
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3201622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018896900
—
FL
Enumeration date
03/23/2006
Last updated
02/16/2026
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