Provider Demographics
NPI:1881939981
Name:SANDERS, AMANDA ARRANTS (FNP-BC, APRN)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:ARRANTS
Last Name:SANDERS
Suffix:
Gender:F
Credentials:FNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W BROADWAY ST STE 205
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9262
Mailing Address - Country:US
Mailing Address - Phone:407-706-1650
Mailing Address - Fax:
Practice Address - Street 1:1000 W BROADWAY ST STE 205
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9262
Practice Address - Country:US
Practice Address - Phone:407-706-1650
Practice Address - Fax:407-706-1651
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN185902363LP2300X
FLARNP9456394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care