Provider Demographics
NPI:1548000789
Name:SANCHEZ, MEKESHIA SHANQUIETTA (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MEKESHIA
Middle Name:SHANQUIETTA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 CHAUTAUQUA LN # 108
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-9665
Mailing Address - Country:US
Mailing Address - Phone:321-216-8681
Mailing Address - Fax:
Practice Address - Street 1:250 W LAKE MARY BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-5925
Practice Address - Country:US
Practice Address - Phone:407-450-0988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-27
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11032975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily