Provider Demographics
NPI:1679256820
Name:SADLER, AUDREY ANNIECE
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:ANNIECE
Last Name:SADLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1826 LONDON CREST DR UNIT 224
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-7017
Mailing Address - Country:US
Mailing Address - Phone:415-955-7497
Mailing Address - Fax:
Practice Address - Street 1:1826 LONDON CREST DR UNIT 224
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-7017
Practice Address - Country:US
Practice Address - Phone:415-955-7497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health