Individual
SANDRA PATRICIA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4915 EHRLICH RD, TAMPA, FL 33624-2038
(813) 960-2400
(813) 960-2410
Mailing address
4200 N ARMENIA AVE, STE 1, TAMPA, FL 33607-6438
(813) 922-3703
(813) 872-8978
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3287112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1372292
COVENTRY
—
01
—
363022
AVMED
FL
01
—
38909
BLUE CROSS
—
01
—
9393932
AETNA
FL
Enumeration date
09/28/2010
Last updated
09/17/2013
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