Provider Demographics
NPI:1972773331
Name:SANCHEZ, VICTORIA L (ARNP)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:L
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:VICKIE
Other - Middle Name:
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4300 PACES FERRY RD SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5703
Mailing Address - Country:US
Mailing Address - Phone:678-755-0185
Mailing Address - Fax:
Practice Address - Street 1:3800 PRINCETON LAKES PKWY SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-5580
Practice Address - Country:US
Practice Address - Phone:404-948-3019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-01
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60666117363L00000X, 363LF0000X
GA084728363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN084728OtherNP