Provider Demographics
NPI:1235817768
Name:PEDROZA, AMPARO (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:AMPARO
Middle Name:
Last Name:PEDROZA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9441 E B TAULBEE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-6004
Mailing Address - Country:US
Mailing Address - Phone:915-203-4716
Mailing Address - Fax:
Practice Address - Street 1:1725 BROWN ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4726
Practice Address - Country:US
Practice Address - Phone:915-590-2225
Practice Address - Fax:915-590-2229
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1127774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily