Provider Demographics
NPI:1831330315
Name:SANCHEZ, TRISHA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:MARIE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 CONCORD CT
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-3413
Mailing Address - Country:US
Mailing Address - Phone:567-224-2886
Mailing Address - Fax:
Practice Address - Street 1:191 CONCORD CT
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-3413
Practice Address - Country:US
Practice Address - Phone:567-224-2886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.124205164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse