Provider Demographics
NPI:1093346835
Name:AMORETTI, SANDRA MERCEDES (DNP, CRNA, APRN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:MERCEDES
Last Name:AMORETTI
Suffix:
Gender:F
Credentials:DNP, CRNA, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 CITY CENTER BLVD APT 5140
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4085
Mailing Address - Country:US
Mailing Address - Phone:305-753-8564
Mailing Address - Fax:
Practice Address - Street 1:3475 SHERIDAN ST STE 104
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3640
Practice Address - Country:US
Practice Address - Phone:888-503-0061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL127269367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty