Provider Demographics
NPI:1245403203
Name:SANCHEZ, BIANCA MARIA (STNA)
Entity Type:Individual
Prefix:MS
First Name:BIANCA
Middle Name:MARIA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3893 WHITE OAK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-8209
Mailing Address - Country:US
Mailing Address - Phone:513-335-4957
Mailing Address - Fax:
Practice Address - Street 1:3893 WHITE OAK VALLEY RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-8209
Practice Address - Country:US
Practice Address - Phone:513-335-4957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400664610907376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2780012OtherWAIVER