Provider Demographics
NPI:1295113991
Name:SANCHEZ, ANDREA (RN, NP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:PADILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:100 SPINEL CT
Mailing Address - Street 2:
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-1734
Mailing Address - Country:US
Mailing Address - Phone:408-881-3140
Mailing Address - Fax:
Practice Address - Street 1:184 MESA CT
Practice Address - Street 2:
Practice Address - City:HERCULES
Practice Address - State:CA
Practice Address - Zip Code:94547-1452
Practice Address - Country:US
Practice Address - Phone:408-881-3140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95030493363LP2300X
CA95038878163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care