Provider Demographics
NPI:1801140322
Name:SANCHEZ, GLENDA GRACIELA (REGISTER NURSE)
Entity type:Individual
Prefix:
First Name:GLENDA
Middle Name:GRACIELA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:REGISTER NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 DOUGLAS DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-2691
Mailing Address - Country:US
Mailing Address - Phone:509-573-5876
Mailing Address - Fax:
Practice Address - Street 1:904 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-4614
Practice Address - Country:US
Practice Address - Phone:509-573-5876
Practice Address - Fax:573-573-5888
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60261330163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse