Provider Demographics
NPI:1700073160
Name:SANSING, RACHELLE LEE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:LEE
Last Name:SANSING
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 1:5341 SW 91ST TER STE A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7151
Mailing Address - Country:US
Mailing Address - Phone:352-254-3553
Mailing Address - Fax:352-329-4264
Practice Address - Street 1:5341 SW 91ST TER STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-7151
Practice Address - Country:US
Practice Address - Phone:352-254-3553
Practice Address - Fax:352-329-4264
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3210832363L00000X
FL3210832363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308684400Medicaid
FLAJ545XMedicare PIN