Healthcare Provider Details

I. General information

NPI: 1548105299
Provider Name (Legal Business Name): FELICIA MELANIE SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5932 PALO VERDE DR NW
ALBUQUERQUE NM
87114-4807
US

IV. Provider business mailing address

5932 PALO VERDE DR NW
ALBUQUERQUE NM
87114-4807
US

V. Phone/Fax

Practice location:
  • Phone: 505-922-5117
  • Fax:
Mailing address:
  • Phone: 505-922-5117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN-72212
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: