Provider Demographics
NPI:1871076240
Name:SANCHEZ, SOPHIA ELENA (LVN)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:ELENA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 TIMBERWOOD CIR APT 2121
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3322
Mailing Address - Country:US
Mailing Address - Phone:469-245-7504
Mailing Address - Fax:
Practice Address - Street 1:3405 TIMBERWOOD CIR APT 2121
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3322
Practice Address - Country:US
Practice Address - Phone:469-245-7504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX334631164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse