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NPI Code Detail

MEDICARE: LYRISA SANCHEZ NURSE PRACTITIONER

MEDICARE:   LYRISA  SANCHEZ  NURSE PRACTITIONER
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
1363LF0000XFamily Nurse PractitionerCNP-76079NM

Other Identifiers

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

General Provider Information

NPI Number : 1275312191
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYRISA SANCHEZ NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 611 NATIONAL AVE
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4243
Country : US
Telephone Number : 505-426-0700
Fax Number : 505-426-0702
Provider Business Practice Location Address
First Line : 611 NATIONAL AVE
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4243
Country : US
Telephone Number : 505-426-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2023
Last Update Date : 08/26/2025

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Directions to “ LYRISA SANCHEZ NURSE PRACTITIONER” Practice Location

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