Provider Demographics
NPI:1922089226
Name:SANCHEZ, BARBARA L (RN,BC,FNP/GNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:L
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RN,BC,FNP/GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AUXVASSE
Mailing Address - State:MO
Mailing Address - Zip Code:65231-2258
Mailing Address - Country:US
Mailing Address - Phone:573-386-5959
Mailing Address - Fax:573-386-5995
Practice Address - Street 1:309 S MAIN ST
Practice Address - Street 2:
Practice Address - City:AUXVASSE
Practice Address - State:MO
Practice Address - Zip Code:65231-2258
Practice Address - Country:US
Practice Address - Phone:573-386-5959
Practice Address - Fax:573-386-5995
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO068440363L00000X, 363LF0000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP66643Medicare UPIN