Provider Demographics
NPI:1922201425
Name:CARTA SANCHEZ, VIVIAN (ARNP)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:CARTA 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 1:110 CENTURY BLVD
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-2262
Mailing Address - Country:US
Mailing Address - Phone:561-697-3131
Mailing Address - Fax:561-684-1919
Practice Address - Street 1:110 CENTURY BLVD
Practice Address - Street 2:FLOOR 2
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-2262
Practice Address - Country:US
Practice Address - Phone:561-697-3131
Practice Address - Fax:561-684-1919
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2738952363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology