Provider Demographics
NPI:1487618955
Name:LENHART, SANDRA H (CRNA)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:H
Last Name:LENHART
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2622 MAN OF WAR CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8862
Mailing Address - Country:US
Mailing Address - Phone:936-444-3773
Mailing Address - Fax:
Practice Address - Street 1:1261 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2219
Practice Address - Country:US
Practice Address - Phone:941-366-5096
Practice Address - Fax:941-366-3123
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9483603367500000X
TX542177367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1814170 02Medicaid
TX86947UOtherBLUE CROSS PROVIDER ID
FLARNP9483603OtherFLORIDA LICENSE
8J8694Medicare PIN
TX8J8694Medicare PIN
TXP00416923Medicare PIN
TX86947UOtherBLUE CROSS PROVIDER ID