Healthcare Provider Details

I. General information

NPI: 1669342135
Provider Name (Legal Business Name): HANZEL SANCHEZ FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9484 W FLAMINGO RD STE 300
LAS VEGAS NV
89147-5744
US

IV. Provider business mailing address

9484 W FLAMINGO RD STE 300
LAS VEGAS NV
89147-5744
US

V. Phone/Fax

Practice location:
  • Phone: 725-256-3839
  • Fax: 725-257-3329
Mailing address:
  • Phone: 725-256-3839
  • Fax: 725-257-3329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number848764
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: