Provider Demographics
NPI:1700377173
Name:SANCHEZ, CHRISTIE NICOLE (ARNP)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:NICOLE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:NICOLE
Other - Last Name:VINCENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10341 BOWMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-1107
Mailing Address - Country:US
Mailing Address - Phone:850-712-3432
Mailing Address - Fax:
Practice Address - Street 1:3874 HIGHWAY 90 STE 201
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-1014
Practice Address - Country:US
Practice Address - Phone:850-994-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9281789363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care