Provider Demographics
NPI:1174391759
Name:SANCHEZ, BIANCA MICHELLE (RN)
Entity type:Individual
Prefix:MS
First Name:BIANCA
Middle Name:MICHELLE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:711 S PARSONAGE ST
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-4423
Mailing Address - Country:US
Mailing Address - Phone:843-479-6801
Mailing Address - Fax:
Practice Address - Street 1:711 S PARSONAGE ST
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-4423
Practice Address - Country:US
Practice Address - Phone:843-479-6801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2294232083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine