Healthcare Provider Details

I. General information

NPI: 1689450389
Provider Name (Legal Business Name): HALEY ALEXANDRA SANCHEZ FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 03/10/2024
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 DUKE MEDICINE CIR # 2A
DURHAM NC
27710-3000
US

IV. Provider business mailing address

464 E PETTIGREW ST APT 608
DURHAM NC
27701-4858
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-0645
  • Fax:
Mailing address:
  • Phone: 631-335-7257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number501877
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: