Provider Demographics
NPI:1548706153
Name:SANCHEZ, VANMALY K (APRN)
Entity type:Individual
Prefix:MS
First Name:VANMALY
Middle Name:K
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 PINES BRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:BEACON FALLS
Mailing Address - State:CT
Mailing Address - Zip Code:06403-1017
Mailing Address - Country:US
Mailing Address - Phone:203-881-2757
Mailing Address - Fax:
Practice Address - Street 1:127 PINES BRIDGE RD
Practice Address - Street 2:
Practice Address - City:BEACON FALLS
Practice Address - State:CT
Practice Address - Zip Code:06403-1017
Practice Address - Country:US
Practice Address - Phone:203-881-2757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6753363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care