SANDA YVES ST FORT LPN
NPI 1164017984
Licensed Practical Nurse in Palm Bay, FL

Active since March 03, 2021
351 BREAKWATER ST SE, PALM BAY, FL 32909(561) 577-8181 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sanda Yves St Fort Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDA YVES ST FORT LPN (NPI 1164017984) is an individual licensed practical nurse in Palm Bay, Florida, licensed in Florida (PN5234997) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1164017984
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSANDA YVES ST FORTCredential: LPN
Location Address351 BREAKWATER ST SEPalm Bay, FL 32909-4729
Mailing Address351 Breakwater St SePalm Bay, FL 32909-4729 · (561) 577-8181
Sole ProprietorYes
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
NPI 1164017984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in FL · PN5234997
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
351 BREAKWATER ST SE, Palm Bay, FL 32909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanda St Fort's NPI number?

The NPI number for Sanda St Fort is 1164017984. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Sanda St Fort located?

Sanda St Fort practices at 351 Breakwater St SE, Palm Bay, FL 32909. The listed phone number is (561) 577-8181.

What is Sanda St Fort's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Sanda St Fort was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.