Provider Demographics
NPI:1043914765
Name:BLAND, SARA DANIELLE (FNP-BC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:DANIELLE
Last Name:BLAND
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:DANIELLE
Other - Last Name:SEGARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:937 S OGLE PT
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-5302
Mailing Address - Country:US
Mailing Address - Phone:352-476-7551
Mailing Address - Fax:
Practice Address - Street 1:937 S OGLE PT
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-5302
Practice Address - Country:US
Practice Address - Phone:352-476-7551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11025419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily