Most Relevant Information
Provider Data
| NPI Number: | 1003475377 |
| Provider Name: | SANDRA L ALLEN APRN FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 9387014 |
Most Important Dates
| Enumeration Date: | 06/11/2019 |
| Last Updated: | 02/01/2023 |
Provider Practice Location
4771 S CLEVELAND AVE
FORT MYERS
FL
339071317
Practice Location Phone/Fax
| Phone: | 2393439800 |
| Fax: | 2393439848 |
Provider Mailing Location
PO BOX 2147
FORT MYERS
FL
339022147
Provider Mailing Phone/Fax
| Phone: | 2393439800 |
| Fax: | 2393439848 |