Provider Demographics
NPI:1073103594
Name:SANCHEZ, ASHLENE ALCAZAR (FNP-C, RN)
Entity Type:Individual
Prefix:
First Name:ASHLENE
Middle Name:ALCAZAR
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3051 EATON RD UNIT 229
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-5664
Mailing Address - Country:US
Mailing Address - Phone:909-471-6828
Mailing Address - Fax:
Practice Address - Street 1:888 LAKESIDE VLG CMNS # A
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-3979
Practice Address - Country:US
Practice Address - Phone:530-332-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-19
Last Update Date:2023-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025585363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner