Provider Demographics
NPI:1255162418
Name:SANCHEZ, NICOLE KIARA (DNP, CRNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:KIARA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DNP, CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12975 HIGHLAND RD UNIT 11
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20777-7501
Mailing Address - Country:US
Mailing Address - Phone:240-883-6984
Mailing Address - Fax:949-703-8658
Practice Address - Street 1:12975 HIGHLAND RD UNIT 11
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MD
Practice Address - Zip Code:20777-7501
Practice Address - Country:US
Practice Address - Phone:240-883-6984
Practice Address - Fax:949-703-8658
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR223717163WE0003X, 363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner