Provider Demographics
NPI:1316245277
Name:LOHDEN, SANDRA CARNS (RN BA CRRN CCM)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:CARNS
Last Name:LOHDEN
Suffix:
Gender:F
Credentials:RN BA CRRN CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14816 CARNATION DR
Mailing Address - Street 2:14816 CARNATION DRIVE
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-1808
Mailing Address - Country:US
Mailing Address - Phone:813-968-8991
Mailing Address - Fax:813-964-9484
Practice Address - Street 1:14816 CARNATION DR
Practice Address - Street 2:14816 CARNATION DRIVE
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-1808
Practice Address - Country:US
Practice Address - Phone:813-968-8991
Practice Address - Fax:813-964-9484
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN516432163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management