Provider Demographics
NPI:1114534856
Name:SANDU, CRISTINA (APRN)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:SANDU
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19327 ELSTON WAY
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-6489
Mailing Address - Country:US
Mailing Address - Phone:305-609-9572
Mailing Address - Fax:
Practice Address - Street 1:19327 ELSTON WAY
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-6489
Practice Address - Country:US
Practice Address - Phone:305-609-9572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11007837363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care