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NPI Code Detail

MEDICARE: YELEYSI MALE SANCHEZ

MEDICARE: YELEYSI MALE SANCHEZ
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 Practitioner254754AZ

General Provider Information

NPI Number : 1821852104
Entity Type Code : Individual
Provider Name (Legal Business Name) : YELEYSI MALE SANCHEZ
Provider Business Mailing Address
First Line : 1514 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-6101
Country : US
Telephone Number : 602-413-0431
Fax Number :
Provider Business Practice Location Address
First Line : 1514 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-6101
Country : US
Telephone Number : 602-413-0431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2024
Last Update Date : 10/07/2025

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Directions to “ YELEYSI MALE SANCHEZ ” Practice Location

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