Provider Demographics
NPI:1891407748
Name:SANDINO, MARCELA (MSN, APRN, FN-C)
Entity Type:Individual
Prefix:
First Name:MARCELA
Middle Name:
Last Name:SANDINO
Suffix:
Gender:F
Credentials:MSN, APRN, FN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15860 SURREY CIR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33331-2568
Mailing Address - Country:US
Mailing Address - Phone:305-215-2640
Mailing Address - Fax:
Practice Address - Street 1:15860 SURREY CIR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33331-2568
Practice Address - Country:US
Practice Address - Phone:305-215-2640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily