Provider Demographics
NPI:1194997023
Name:SANCHEZ, NIOCLE ANNE
Entity type:Individual
Prefix:
First Name:NIOCLE
Middle Name:ANNE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9525 NE 180TH ST APT 200
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3399
Mailing Address - Country:US
Mailing Address - Phone:425-770-3452
Mailing Address - Fax:
Practice Address - Street 1:9525 NE 180TH ST APT 200
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3399
Practice Address - Country:US
Practice Address - Phone:425-770-3452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024607172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker