Provider Demographics
NPI:1528222981
Name:ARMSTRONG, SANDRA POLLARD (RN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:POLLARD
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 23RD AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3229
Mailing Address - Country:US
Mailing Address - Phone:727-433-6336
Mailing Address - Fax:
Practice Address - Street 1:1117 ARLINGTON AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1521
Practice Address - Country:US
Practice Address - Phone:727-896-9029
Practice Address - Fax:727-896-7269
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 2738472163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis