Individual
SANDRA L. WHETSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 278-9058
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 278-9058
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1288501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN1288501
LPN LICENSE
FL
Enumeration date
12/10/2012
Last updated
12/10/2012
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