Individual provider · Type 1 NPI
Sandra Sue Iverson, PA-C
Adult Health Nurse Practitioner · Orlando, FL
NPI number
1265460844
Active
Practice location
5201 Raymond St
Orlando, FL 32803-8208
Fax (407) 599-1414
Mailing address
1704 Dauphin Ln
Orlando, FL 32803-1806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0001915 (FL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN42171-2 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1265460844
Sandra Sue Iverson, PA-C's National Provider Identifier is 1265460844, issued on Jun 30, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orlando, FL. The record was last updated on Sep 11, 2025.