Individual
DIANE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
893 MAIN ST, SUITE 202, EAST HARTFORD, CT 06108-2292
(860) 528-4124
(860) 282-1213
Mailing address
30 JORDAN LN, PRIME HEALTHCARE, WETHERSFIELD, CT 06109-1278
(860) 263-0253
(860) 263-0262
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0001768
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001768
MEDICAL LICENSE
CT
05
—
004203171
—
CT
01
—
400001768CT01
BC/BS
CT
Enumeration date
12/23/2005
Last updated
03/07/2023
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