Healthcare Provider Details

I. General information

NPI: 1093266389
Provider Name (Legal Business Name): LAJUAN SANCHEZ ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2016
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2318 MANATEE AVE W
BRADENTON FL
34205-5432
US

IV. Provider business mailing address

8104 EL PORTAL DR
TAMPA FL
33604-2811
US

V. Phone/Fax

Practice location:
  • Phone: 941-714-7150
  • Fax: 941-708-8517
Mailing address:
  • Phone: 813-944-8150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9365289
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP9365289
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: