MEDICARE: KAREN A 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	3257-33	WI
2	363L00000X	Nurse Practitioner	3257	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174711469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN A SANCHEZ FNP-C

Provider Business Mailing Address
First Line	:	3301 W FOREST HOME AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-2843
Country	:	US
Telephone Number	:	920-497-7783
Fax Number	:	920-497-7789

Provider Business Practice Location Address
First Line	:	2301 S ONEIDA ST
Second Line	:
City	:	ASHWAUBENON
State	:	WI
Zip	:	54304-5230
Country	:	US
Telephone Number	:	920-497-7783
Fax Number	:	920-497-7789

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

Provider Enumeration Date	:	10/11/2007
Last Update Date	:	01/18/2021

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