Healthcare Provider Details

I. General information

NPI: 1295725331
Provider Name (Legal Business Name): NORA R SANCHEZ CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4808 MCMAHON BLVD NW
ALBUQUERQUE NM
87114-5010
US

IV. Provider business mailing address

800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2900
  • Fax: 505-272-2909
Mailing address:
  • Phone: 505-272-1476
  • Fax: 505-272-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR36350
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: