SANDRA SUE IVERSON PA-C - NPI 1265460844 - Nurse Practitioner in Orlando, FL

Q: What is Sandra Iverson's NPI number?

The NPI number for Sandra Iverson is 1265460844. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Sandra Iverson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Iverson was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Sandra Sue Iverson Pa-c NPPES

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

SANDRA SUE IVERSON PA-C (NPI 1265460844) is an individual adult health provider in Orlando, Florida, licensed in Florida (RN42171-2) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1265460844

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSANDRA SUE IVERSONCredential: PA-C

Location Address5201 RAYMOND STOrlando, FL 32803-8208

Mailing Address1704 Dauphin LnOrlando, FL 32803-1806 · (407) 895-0822 · Fax (407) 599-1414

Phone(407) 629-1599

Fax(407) 599-1414

Sole ProprietorNo

Enumeration DateJune 30, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1265460844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · RN42171-2

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0001915 (FL)

5201 RAYMOND ST, Orlando, FL 32803

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT SPROUL PHARMD

Pharmacist