Healthcare Provider Details

I. General information

NPI: 1750220398
Provider Name (Legal Business Name): KATHLEEN SANCHEZ APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 MARKET ST
PERTH AMBOY NJ
08861-4544
US

IV. Provider business mailing address

196 SPEEDWELL AVE
MORRISTOWN NJ
07960-2934
US

V. Phone/Fax

Practice location:
  • Phone: 833-377-8474
  • Fax:
Mailing address:
  • Phone: 833-377-8474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ15549800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: