Individual provider · NPI-1

Sandra H. Anderson, FNP

Nurse Practitioner, Family · Port Charlotte, FL

NPI number1285988121
StatusActive
Last updated in NPPESJan 15, 2026

Details

NPI
1285988121
Entity type
Individual (NPI-1)
Name
Sandra H. Anderson
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 30, 2012
Certification date
Jan 15, 2026
Last updated
Jan 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyARNP9173232FLYes
163W00000X Registered NurseRN9173232FL

Practice location

3340 Tamiami Trl
Port Charlotte, FL 33952-8088

Phone 941-764-5858

Mailing address

2675 Winkler Ave Ste 200
Fort Myers, FL 33901-9328

Other practice locations

601 Medical Dr
Englewood, FL 34223-3976

Phone 941-475-5621 · Fax 941-474-6942

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