Basic Information
Provider Information
NPI: 1821269036
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANCHEZ
FirstName: ROSALINDA
MiddleName: T
NamePrefix: MRS.
NameSuffix:  
Credential: R.N.,M.S.N.,C.P.N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1690 JANET COLES LN
Address2:  
City: EL PASO
State: TX
PostalCode: 799365422
CountryCode: US
TelephoneNumber: 9155328187
FaxNumber:  
Practice Location
Address1: 1400 N EL PASO ST
Address2: E
City: EL PASO
State: TX
PostalCode: 799023437
CountryCode: US
TelephoneNumber: 9155770444
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/14/2008
LastUpdateDate: 11/17/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200X244258TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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