Provider Demographics
NPI:1174272561
Name:SANCHEZ, LINDSAY ELLICE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ELLICE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:CRAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16-590 OLD VOLCANO RD STE BC
Mailing Address - Street 2:
Mailing Address - City:KEAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96749-8158
Mailing Address - Country:US
Mailing Address - Phone:808-333-3450
Mailing Address - Fax:808-930-4721
Practice Address - Street 1:16-590 OLD VOLCANO RD STE BC
Practice Address - Street 2:
Practice Address - City:KEAAU
Practice Address - State:HI
Practice Address - Zip Code:96749-8158
Practice Address - Country:US
Practice Address - Phone:808-333-3450
Practice Address - Fax:808-930-4721
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3596363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care