Provider Demographics
NPI:1689351603
Name:SANDT, ELIZABETH J (RN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:SANDT
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 1:604 DOUGLAS DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5038
Mailing Address - Country:US
Mailing Address - Phone:703-509-2592
Mailing Address - Fax:
Practice Address - Street 1:604 DOUGLAS DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5038
Practice Address - Country:US
Practice Address - Phone:703-509-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9341730163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse