MEDICARE: GABRIELA SANCHEZ PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ14862300	NJ

General Provider Information

NPI Number	:	1023897139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA SANCHEZ PMHNP

Provider Business Mailing Address
First Line	:	304 N 11TH ST
Second Line	:
City	:	KENILWORTH
State	:	NJ
Zip	:	07033-1158
Country	:	US
Telephone Number	:	973-897-7041
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 LAFAYETTE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-2506
Country	:	US
Telephone Number	:	973-341-9869
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	09/02/2025

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