Healthcare Provider Details

I. General information

NPI: 1104763374
Provider Name (Legal Business Name): FRANCIS JOHN TRAJANO SANCHEZ BSN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 N CHURCH ST APT 1607
CHARLOTTE NC
28202-3156
US

IV. Provider business mailing address

640 N CHURCH ST APT 1607
CHARLOTTE NC
28202-3156
US

V. Phone/Fax

Practice location:
  • Phone: 704-384-1480
  • Fax:
Mailing address:
  • Phone: 704-384-1480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number388120
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: