Provider Demographics
NPI:1023297652
Name:SANCHEZ, ELISABETH DIANE (FNP)
Entity type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:DIANE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:DIANE
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10727 STONE ISLE COURT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7354
Mailing Address - Country:US
Mailing Address - Phone:325-513-2616
Mailing Address - Fax:
Practice Address - Street 1:10727 STONE ISLE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1740
Practice Address - Country:US
Practice Address - Phone:325-513-2616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX595980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K4591OtherMEDICARE