Provider Demographics
NPI:1851572390
Name:ASCHE, SANDRA LOU (RN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LOU
Last Name:ASCHE
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 1:696 S WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-5200
Mailing Address - Country:US
Mailing Address - Phone:714-538-5212
Mailing Address - Fax:
Practice Address - Street 1:696 S WOODLAND ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-5200
Practice Address - Country:US
Practice Address - Phone:714-538-5212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA290978163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health