Healthcare Provider Details

I. General information

NPI: 1497667927
Provider Name (Legal Business Name): ANED SANCHEZ IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 HAYNES ST
MANCHESTER CT
06040-4131
US

IV. Provider business mailing address

200 ANDREWS WAY APT 308
SOUTH WINDSOR CT
06074-9614
US

V. Phone/Fax

Practice location:
  • Phone: 860-647-4790
  • Fax:
Mailing address:
  • Phone: 512-981-8438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-318732
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: