Healthcare Provider Details

I. General information

NPI: 1851205546
Provider Name (Legal Business Name): ELSA SANCHEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 W BELOIT RD
MILWAUKEE WI
53214-3517
US

IV. Provider business mailing address

4727 W BELOIT RD
MILWAUKEE WI
53214-3517
US

V. Phone/Fax

Practice location:
  • Phone: 414-817-2569
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number110908930
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: