Provider Demographics
NPI:1417209594
Name:HUNSA, RAQUEL (FNP)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:HUNSA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11861 PHYSICIANS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6280
Mailing Address - Country:US
Mailing Address - Phone:915-521-7253
Mailing Address - Fax:915-521-7928
Practice Address - Street 1:11861 PHYSICIANS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6280
Practice Address - Country:US
Practice Address - Phone:915-521-7253
Practice Address - Fax:915-521-7928
Is Sole Proprietor?:No
Enumeration Date:2012-10-12
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX699066363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily