Provider Demographics
NPI:1447583646
Name:QUIROGA, ASTRID MARCELA (RN, FNP)
Entity Type:Individual
Prefix:
First Name:ASTRID
Middle Name:MARCELA
Last Name:QUIROGA
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:ASTRID
Other - Middle Name:MARCELA
Other - Last Name:QUIROGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, FNP-BC
Mailing Address - Street 1:723 SHOTWELL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-4813
Mailing Address - Country:US
Mailing Address - Phone:713-673-9400
Mailing Address - Fax:
Practice Address - Street 1:723 SHOTWELL ST
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020-4813
Practice Address - Country:US
Practice Address - Phone:713-673-9400
Practice Address - Fax:713-673-9401
Is Sole Proprietor?:No
Enumeration Date:2009-09-07
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX725714363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily