Provider Demographics
NPI:1457800229
Name:SANCHEZ, CHRISTINA ELISABETH (AGPCNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ELISABETH
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2790 GODWIN BLVD STE 375
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8175
Mailing Address - Country:US
Mailing Address - Phone:757-934-4646
Mailing Address - Fax:757-995-1944
Practice Address - Street 1:2790 GODWIN BLVD STE 375
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8175
Practice Address - Country:US
Practice Address - Phone:757-934-4646
Practice Address - Fax:757-995-1944
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-22
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173900363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care