Provider Demographics
NPI:1629898465
Name:SANCHEZ, ROBERTA (MA, BCN)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MA, BCN
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, BCN
Mailing Address - Street 1:720 100 YEARPARTY CT STE 200
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-8591
Mailing Address - Country:US
Mailing Address - Phone:303-956-7066
Mailing Address - Fax:
Practice Address - Street 1:720 100 YEARPARTY CT STE 200
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-8591
Practice Address - Country:US
Practice Address - Phone:303-956-7066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program