Provider Demographics
NPI:1982291100
Name:SANCHEZ QUIROA, WENDY ALEJANDRA (APRN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:ALEJANDRA
Last Name:SANCHEZ QUIROA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 FENNEL GREEN DR
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-3730
Mailing Address - Country:US
Mailing Address - Phone:813-708-2455
Mailing Address - Fax:
Practice Address - Street 1:1117 FENNEL GREEN DR
Practice Address - Street 2:
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-3730
Practice Address - Country:US
Practice Address - Phone:813-708-2455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010205363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care