Provider Demographics
NPI:1801224035
Name:SANDERS-SYMANSKI, COLLEEN DANIELLE (RN)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:DANIELLE
Last Name:SANDERS-SYMANSKI
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 1:7760 BAY ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3427
Mailing Address - Country:US
Mailing Address - Phone:772-388-4988
Mailing Address - Fax:772-774-4866
Practice Address - Street 1:7760 BAY ST
Practice Address - Street 2:SUITE 8
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3427
Practice Address - Country:US
Practice Address - Phone:772-388-4988
Practice Address - Fax:772-774-4866
Is Sole Proprietor?:No
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2196152163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator