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NPI Code Detail

MEDICARE: IRENE R SANCHEZ NP

MEDICARE: IRENE R SANCHEZ NP
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 PractitionerNP7144CA
2363L00000XNurse PractitionerNP7144CA

General Provider Information

NPI Number : 1780680611
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE R SANCHEZ NP
Provider Business Mailing Address
First Line : 4910 E CLINTON WAY
Second Line : SUITE 101
City : FRESNO
State : CA
Zip : 93727-1560
Country : US
Telephone Number : 559-443-2682
Fax Number : 559-443-2681
Provider Business Practice Location Address
First Line : 290 N WAYTE LN
Second Line :
City : FRESNO
State : CA
Zip : 93701-2124
Country : US
Telephone Number : 559-459-5721
Fax Number : 559-459-4922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 11/14/2012

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