SANDRA S DACCARETT NPI 1093089245

NPI Information

NPI: 1093089245
Provider Name: SANDRA S DACCARETT
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: FLORIDA ATLANTIC UNIVERSITY

PECOS Registration: Yes

Address:
3090 NW 46TH AVE APT 104
LAUDERDALE LAKES, FL
ZIP 33313
Phone: (954) 730-9147
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Sandra S Daccarett is a primary care nurse practitioner in Lauderdale Lakes, FL with 13 years of experience. Sandra S Daccarett NPI is 1093089245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3090 NW 46TH AVE APT 104
LAUDERDALE LAKES, FL
ZIP 33313-866
Phone: (954) 730-9147

The NPI 1093089245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 4/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	ARNP9207369	FLORIDA	No
2	363LP2300X	Nurse Practitioner	Primary Care	ARNP9207369	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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