Provider Demographics
NPI:1083926539
Name:SANCHEZ, PATRICIA ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12430 STATE ROUTE 330
Mailing Address - Street 2:
Mailing Address - City:VANLUE
Mailing Address - State:OH
Mailing Address - Zip Code:45890-9703
Mailing Address - Country:US
Mailing Address - Phone:419-387-7048
Mailing Address - Fax:
Practice Address - Street 1:12430 STATE ROUTE 330
Practice Address - Street 2:
Practice Address - City:VANLUE
Practice Address - State:OH
Practice Address - Zip Code:45890-9703
Practice Address - Country:US
Practice Address - Phone:419-387-7048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN101900164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse