NP Extender Service LLC
NPI 1467676437ActiveOrganization· Nurse Practitioner, Gerontology· St Petersburg, FL
Nurse Practitioner, Gerontology in St Petersburg, Florida, registered in NPPES in April 2007. The authorized official on file is M Sandra Davanzo Mbr, ARNP, President.
Overview
| NPI | 1467676437 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 1740872 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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