Provider Demographics
NPI:1851132039
Name:SANCHEZ, KRYSTLE (DOULA)
Entity type:Individual
Prefix:
First Name:KRYSTLE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 DIAMOND ST
Mailing Address - Street 2:
Mailing Address - City:SLATINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18080-1568
Mailing Address - Country:US
Mailing Address - Phone:484-664-0610
Mailing Address - Fax:
Practice Address - Street 1:3446 FREEMANSBURG AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-5747
Practice Address - Country:US
Practice Address - Phone:484-232-9066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula