Healthcare Provider Details

I. General information

NPI: 1578215455
Provider Name (Legal Business Name): KRISTEN SANCHEZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2022
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11843 WHITTIER BLVD
WHITTIER CA
90601-3941
US

IV. Provider business mailing address

11061 CORLEY DR
WHITTIER CA
90604-1815
US

V. Phone/Fax

Practice location:
  • Phone: 562-325-5336
  • Fax:
Mailing address:
  • Phone: 310-746-7786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95035080
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95200252
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: