Provider Demographics
NPI:1780864116
Name:SANCHEZ, CHRISTINA LYN (RN)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LYN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SCRANTON CONNECTOR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-0540
Mailing Address - Country:US
Mailing Address - Phone:912-262-2347
Mailing Address - Fax:912-349-2326
Practice Address - Street 1:420 MALL BLVD RM 6
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4888
Practice Address - Country:US
Practice Address - Phone:912-644-5812
Practice Address - Fax:912-349-2326
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN27058396A171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No171M00000XOther Service ProvidersCase Manager/Care Coordinator