Healthcare Provider Details

I. General information

NPI: 1689016438
Provider Name (Legal Business Name): MELODY SANCHEZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 06/17/2022
Certification Date: 06/17/2022
Deactivation Date: 01/10/2014
Reactivation Date: 10/05/2017

III. Provider practice location address

25170 HANCOCK AVE STE 200
MURRIETA CA
92562-5969
US

IV. Provider business mailing address

25170 HANCOCK AVE STE 200
MURRIETA CA
92562-5969
US

V. Phone/Fax

Practice location:
  • Phone: 951-461-9300
  • Fax: 951-461-9399
Mailing address:
  • Phone: 514-619-3009
  • Fax: 951-461-9399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number797971
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95007662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: