Healthcare Provider Details

I. General information

NPI: 1174272561
Provider Name (Legal Business Name): LINDSAY ELLICE SANCHEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY CRAIN

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16-590 OLD VOLCANO RD STE BC
KEAAU HI
96749-8158
US

IV. Provider business mailing address

16-590 OLD VOLCANO RD STE BC
KEAAU HI
96749-8158
US

V. Phone/Fax

Practice location:
  • Phone: 808-333-3450
  • Fax: 808-930-4721
Mailing address:
  • Phone: 808-333-3450
  • Fax: 808-930-4721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4261078
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN-3596
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: