Provider Demographics
NPI:1063046050
Name:PASCUA, FLORENCE SANCHEZ (APRN, AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:SANCHEZ
Last Name:PASCUA
Suffix:
Gender:F
Credentials:APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8046 W 89TH ST
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-1453
Mailing Address - Country:US
Mailing Address - Phone:773-704-8786
Mailing Address - Fax:
Practice Address - Street 1:400 W 76TH ST STE 303
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-1640
Practice Address - Country:US
Practice Address - Phone:773-536-9922
Practice Address - Fax:773-496-8181
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.018545363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner