Provider Demographics
NPI:1477982916
Name:SANCHEZ, MARLENY (LPN)
Entity Type:Individual
Prefix:
First Name:MARLENY
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1272 UNION AVE APT 304
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-1493
Mailing Address - Country:US
Mailing Address - Phone:347-820-6351
Mailing Address - Fax:
Practice Address - Street 1:1272 UNION AVE APT 304
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-1493
Practice Address - Country:US
Practice Address - Phone:347-820-6351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314815-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse