Provider Demographics
NPI:1700374709
Name:BHANDARI, SUSHILA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SUSHILA
Middle Name:
Last Name:BHANDARI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 FORREST LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-7621
Mailing Address - Country:US
Mailing Address - Phone:239-206-2833
Mailing Address - Fax:239-529-5491
Practice Address - Street 1:680 2ND AVE N STE 304
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5757
Practice Address - Country:US
Practice Address - Phone:239-206-2833
Practice Address - Fax:239-529-5491
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9330984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily