Provider Demographics
NPI:1467035378
Name:SANCHEZ, ELIANET SISSI (APRN 11004660)
Entity Type:Individual
Prefix:
First Name:ELIANET
Middle Name:SISSI
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:APRN 11004660
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 MAJORCA AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4429
Mailing Address - Country:US
Mailing Address - Phone:786-380-0362
Mailing Address - Fax:
Practice Address - Street 1:221 MAJORCA AVE APT 204
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4429
Practice Address - Country:US
Practice Address - Phone:786-380-0362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004660363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner