Individual
MICAELA SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 NW 114TH ST, CLIVE, IA 50325-7039
(515) 850-7668
Mailing address
1450 NW 114TH ST, CLIVE, IA 50325-7039
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G186839
IA
Other
Enumeration date
09/09/2025
Last updated
09/10/2025
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