Provider Demographics
NPI:1629623327
Name:SENTERFITT, OLIVIA (LPN)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:SENTERFITT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 MOUND ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7716
Mailing Address - Country:US
Mailing Address - Phone:941-365-5898
Mailing Address - Fax:
Practice Address - Street 1:1666 MOUND ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7716
Practice Address - Country:US
Practice Address - Phone:941-365-5898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5239453164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse