Healthcare Provider Details
I. General information
NPI: 1285145409
Provider Name (Legal Business Name): JULIUS BATAC SANCHEZ FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/15/2017
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
625 34TH ST STE 100&200
BAKERSFIELD CA
93301-2305
US
IV. Provider business mailing address
625 34TH ST STE 100&200
BAKERSFIELD CA
93301-2305
US
V. Phone/Fax
- Phone: 833-678-2781
- Fax: 661-368-0618
- Phone: 833-678-2781
- Fax: 661-368-0618
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 95007358 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: