FEDDY SANDY NP NPI 1417916172

NPI Information

NPI: 1417916172
Provider Name: FEDDY SANDY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
217 W AVENUE A
BELLE GLADE, FL
ZIP 33430
Phone: (561) 992-4888
Get Directions

Feddy Sandy, NP is a family nurse practitioner in Belle Glade, FL. Feddy Sandy, NP NPI is 1417916172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

217 W AVENUE A
BELLE GLADE, FL
ZIP 33430-019
Phone: (561) 992-4888
Fax: (561) 992-4888

The enumeration date for this NPI number is 3/21/2006 and was last updated on 3/26/2015.

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	363LF0000X	Nurse Practitioner	Family	ARNP2919552	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	303634100	MEDICAID	FLORIDA
2	34489	MEDICARE UPIN	FLORIDA
3	E5757Z	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

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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