Doctor Name: | AMBER RENAE SANFORD |
NPI Number: | 1134592561 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9294584 |
Business Practice Address: | 2255 Crescent Dr Mount Dora, FL - 327574708 |
Business Phone Number: | 3528383826 |
Business Fax Number: | |
Mailing Address: | 2255 Crescent Dr, MOUNT DORA |
State: | FL |
Postal Code: | 327574708 |
Phone Number: | 3528383826 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2015 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP9294584 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |