Provider Demographics
NPI:1902830581
Name:TOPP, SANDRA K (ARNP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:K
Last Name:TOPP
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:PO BOX 117500
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-7500
Mailing Address - Country:US
Mailing Address - Phone:352-294-7475
Mailing Address - Fax:352-846-1570
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-5266
Practice Address - Country:US
Practice Address - Phone:352-294-7475
Practice Address - Fax:352-846-1570
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9244467363LF0000X
FLARNP9244467363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020397800Medicaid
FLY00KBOtherBCBSFL
FL307787000Medicaid