Provider Demographics
NPI:1548559651
Name:SANCHEZ, SHAWNTEY MICHELLE
Entity Type:Individual
Prefix:
First Name:SHAWNTEY
Middle Name:MICHELLE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 W COURT ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5943
Mailing Address - Country:US
Mailing Address - Phone:830-379-9797
Mailing Address - Fax:830-379-0248
Practice Address - Street 1:1201 W COURT ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5943
Practice Address - Country:US
Practice Address - Phone:830-379-9797
Practice Address - Fax:830-379-0248
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223975164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse