Individual
MRS. KIMBERLY A SAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1105 53RD AVE E, BUILDING A, BRADENTON, FL 34203-4897
(941) 755-2562
(941) 758-4065
Mailing address
1105 53RD AVE E STE A, BRADENTON, FL 34203-4897
(941) 708-3358
(941) 758-4065
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9190096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9190096
STATE MEDICAL LICENSE
FL
01
—
P00213322
RAILROAD MEDICARE
FL
Enumeration date
06/16/2006
Last updated
02/12/2015
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