Provider Demographics
NPI:1760263594
Name:SIRMANS, SAWANDA (LPN)
Entity Type:Individual
Prefix:
First Name:SAWANDA
Middle Name:
Last Name:SIRMANS
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 1:8361 NARCOOSSEE RD APT 2201
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-5612
Mailing Address - Country:US
Mailing Address - Phone:407-965-9918
Mailing Address - Fax:407-203-1184
Practice Address - Street 1:8361 NARCOOSSEE RD APT 2201
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-5612
Practice Address - Country:US
Practice Address - Phone:407-965-9918
Practice Address - Fax:407-203-1184
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5228838164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse