Healthcare Provider Details

I. General information

NPI: 1558940551
Provider Name (Legal Business Name): LIZABETH NIKOLE SANCHEZ PD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19601 N 7TH ST UNIT 1095
PHOENIX AZ
85024-1607
US

IV. Provider business mailing address

19601 N 7TH ST UNIT 1095
PHOENIX AZ
85024-1607
US

V. Phone/Fax

Practice location:
  • Phone: 602-448-6613
  • Fax:
Mailing address:
  • Phone: 602-448-6613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: