| Sandra June Northway, ARNP | |
|
1326 Fl-100 Melrose, Fl 32666, Melrose, FL 32666 | |
| (386) 659-2104 | |
| Not Available |
| Full Name | Sandra June Northway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1326 Fl-100 Melrose, Fl 32666, Melrose, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487166021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9200321 (Florida) | Primary |
| Entity Name | Solantic Of Jacksonville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Wcs Professional Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659782415 PECOS PAC ID: 3678792579 Enrollment ID: O20140908001617 |
| Entity Name | Restorixhealth At-home Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255974689 PECOS PAC ID: 8123455011 Enrollment ID: O20200511001217 |
| Entity Name | Renew Wound Care Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811631591 PECOS PAC ID: 1951788256 Enrollment ID: O20220505002450 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra June Northway, ARNP 4406 Station Fwy, Keystone Heights, FL 32656-6702 Ph: (352) 262-1980 | Sandra June Northway, ARNP 1326 Fl-100 Melrose, Fl 32666, Melrose, FL 32666 Ph: (386) 659-2104 |
Haiyan Wang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5818 Centre St, Melrose, FL 32666 Phone: 352-475-3792 | |
Ms. Leigh C Foglia, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22308 Ne 35th Ave, Melrose, FL 32666 Phone: 352-256-3535 | |
Ms. Molly Anne Nicholas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5818 Centre St, Melrose, FL 32666 Phone: 352-475-3792 Fax: 352-475-3794 | |
Ms. Delcora Howell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1745 State Road 100, Melrose, FL 32666 Phone: 352-478-2471 Fax: 352-478-2496 | |
Aline Seraphin, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1326 State Road 100, Melrose, FL 32666 Phone: 386-659-2104 |