Provider Demographics
NPI:1053963736
Name:SANDERS, AMANDA SHARON (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:SHARON
Last Name:SANDERS
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 1:5847 AIRLINE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-1215
Mailing Address - Country:US
Mailing Address - Phone:901-633-8463
Mailing Address - Fax:901-504-1911
Practice Address - Street 1:5847 AIRLINE RD STE 105
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-1215
Practice Address - Country:US
Practice Address - Phone:901-633-8463
Practice Address - Fax:901-504-1911
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26240363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily