Provider Demographics
NPI:1417450438
Name:SANCHEZ, ALYSSA ASHLEY (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ASHLEY
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-4012
Mailing Address - Country:US
Mailing Address - Phone:956-607-7025
Mailing Address - Fax:
Practice Address - Street 1:4305 ROYAL DR
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-4012
Practice Address - Country:US
Practice Address - Phone:956-607-7025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily