Provider Demographics
NPI:1235659236
Name:SANCHEZ, TYANN NICOLE (DOULA)
Entity Type:Individual
Prefix:
First Name:TYANN
Middle Name:NICOLE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16018 PLATTER RD
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:IN
Mailing Address - Zip Code:46774-9718
Mailing Address - Country:US
Mailing Address - Phone:260-449-5211
Mailing Address - Fax:
Practice Address - Street 1:16018 PLATTER ROAD
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:IN
Practice Address - Zip Code:46774
Practice Address - Country:US
Practice Address - Phone:260-449-5211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula