Teena Yvonne Sanders, ARNP
Nurse Practitioner, Pediatrics in Indialantic, FL. Individual provider (NPI-1).
NPI number1396830352
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1396830352
- Entity type
- Individual (NPI-1)
- Name
- Teena Yvonne Sanders
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 3178122 | FL | Yes |
Practice location
150 5th Ave Ste CIndialantic, FL 32903-3167
Phone 321-821-4882
Mailing address
10140 Centurion Pkwy NJacksonville, FL 32256-0532
Phone 904-697-4100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.