Doctor Name: | DIANE SANCHEZ |
NPI Number: | 1013994706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 0001768 |
Business Practice Address: | 893 Main St Suite 202 East Hartford, CT - 061082292 |
Business Phone Number: | 8605284124 |
Business Fax Number: | 8602821213 |
Mailing Address: | 30 Jordan Ln, Prime Healthcare WETHERSFIELD |
State: | CT |
Postal Code: | 061091278 |
Phone Number: | 8602630253 |
Fax Number: | 8602630262 |
NPI Enumeration Date: | 12/23/2005 |
NPI Last Update Date: | 11/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 0001768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |