Provider Demographics
NPI:1790517449
Name:SANCHEZ, AYLIN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:AYLIN
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:AYLIN
Other - Middle Name:
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7181 VILLAMAR WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-5609
Mailing Address - Country:US
Mailing Address - Phone:561-888-2492
Mailing Address - Fax:
Practice Address - Street 1:7181 VILLAMAR WAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-5609
Practice Address - Country:US
Practice Address - Phone:561-888-2492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034892363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health