Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP3278052 | FL |
NPI | 1003130592 |
---|---|
Provider Name | Stephanie R Sanchez |
First Address | Daytona Beach, FL 32117-5531 |
Second Address | Ormond Beach, FL 32174-5103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2010 |
Last Update Date | 27/05/2020 |