Provider Demographics
NPI:1831485390
Name:CIANCIARULI, SARAH ANDERSON (FNP-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANDERSON
Last Name:CIANCIARULI
Suffix:
Gender:F
Credentials:FNP-BC
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 9033
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34995-9033
Mailing Address - Country:US
Mailing Address - Phone:772-287-5200
Mailing Address - Fax:772-223-5622
Practice Address - Street 1:200 SE HOSPITAL AVE FL 34994
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2346
Practice Address - Country:US
Practice Address - Phone:772-370-8796
Practice Address - Fax:772-223-5914
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9168913163W00000X
FL1215204363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003881400Medicaid
FLY08NFOtherFL BLUE
FL1831485390OtherNPI