Individual
MEGAN SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-0483
Mailing address
2901 58TH AVE N, ST PETERSBURG, FL 33714-1326
(727) 822-4300
(727) 456-1399
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9308456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123425600
—
FL
01
—
3TQM9
BLUE CROSS BLUE SHIELD
FL
01
—
9308455
CERTIFIED PEDIATRIC NURSE PRACTITIONER
FL
Enumeration date
02/14/2018
Last updated
12/03/2024
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