Provider Demographics
NPI:1336840198
Name:SAHADEO, SANDY CHAND (APRN-PMHNP)
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:CHAND
Last Name:SAHADEO
Suffix:
Gender:
Credentials:APRN-PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14891 67TH TRL N
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1961
Mailing Address - Country:US
Mailing Address - Phone:561-215-8445
Mailing Address - Fax:
Practice Address - Street 1:1115 45TH ST STE 1
Practice Address - Street 2:
Practice Address - City:MANGONIA PARK
Practice Address - State:FL
Practice Address - Zip Code:33407-2378
Practice Address - Country:US
Practice Address - Phone:561-215-8445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11025306363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health