Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP 9183765 | FL |
NPI | 1003072133 |
---|---|
Provider Name | Ms. Betsy Sanchez |
First Address | Miramar, FL 33025-5076 |
Second Address | Hialeah, FL 33015-8200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 30/12/2015 |