Provider Demographics
NPI:1295379733
Name:SANCHEZ AYALA, MELIZZA LIZ (RN)
Entity Type:Individual
Prefix:
First Name:MELIZZA
Middle Name:LIZ
Last Name:SANCHEZ AYALA
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:915 N FRANKLIN ST UNIT 2117
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-3877
Mailing Address - Country:US
Mailing Address - Phone:956-551-2027
Mailing Address - Fax:
Practice Address - Street 1:1701 N LOIS AVENUE
Practice Address - Street 2:VALERA APT UNIT 224
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:956-551-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR039089163W00000X
FL9546744163W00000X
FL11009520163W00000X
PR110097367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse