Provider Demographics
NPI:1407654056
Name:SANCHEZ LOPEZ, ANAHI IZAMAR (ARNP)
Entity type:Individual
Prefix:
First Name:ANAHI
Middle Name:IZAMAR
Last Name:SANCHEZ LOPEZ
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 EVERGREEN AVE NW
Mailing Address - Street 2:PO BOX 322
Mailing Address - City:ROYAL CITY
Mailing Address - State:WA
Mailing Address - Zip Code:99357
Mailing Address - Country:US
Mailing Address - Phone:509-761-2826
Mailing Address - Fax:
Practice Address - Street 1:415 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-1907
Practice Address - Country:US
Practice Address - Phone:509-350-8928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61650948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily