Provider Demographics
NPI:1750485298
Name:CORSETTI, SANDRA FARNETI (DNP, ARNP-BC)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:FARNETI
Last Name:CORSETTI
Suffix:
Gender:F
Credentials:DNP, ARNP-BC
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:KAY
Other - Last Name:FARNETI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, ARNP-BC
Mailing Address - Street 1:33670 US HWY 19N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684
Mailing Address - Country:US
Mailing Address - Phone:727-514-2114
Mailing Address - Fax:
Practice Address - Street 1:33343 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3128
Practice Address - Country:US
Practice Address - Phone:727-772-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9286167363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 9286167OtherARNP