Provider Demographics
NPI:1598005480
Name:SANCHEZ, MARLENE (ARNP)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7340 W 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-3711
Mailing Address - Country:US
Mailing Address - Phone:305-794-8086
Mailing Address - Fax:305-823-7559
Practice Address - Street 1:7340 W 18TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-3711
Practice Address - Country:US
Practice Address - Phone:305-794-8086
Practice Address - Fax:305-823-7559
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9244721363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner