MEDICARE: MONIQUE SANCHEZ FNP-C

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	363LF0000X	Family Nurse Practitioner	65113	NM

General Provider Information

NPI Number	:	1174292122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE SANCHEZ FNP-C

Provider Business Mailing Address
First Line	:	2735 NORTHRISE DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-0897
Country	:	US
Telephone Number	:	575-288-4070
Fax Number	:	833-973-3822

Provider Business Practice Location Address
First Line	:	2735 NORTHRISE DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-0897
Country	:	US
Telephone Number	:	575-288-4070
Fax Number	:	833-973-3822

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

Provider Enumeration Date	:	09/12/2021
Last Update Date	:	10/16/2025

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