Provider Demographics
NPI:1477733038
Name:ROSS, NANCY EILEEN (RN FNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:EILEEN
Last Name:ROSS
Suffix:
Gender:F
Credentials:RN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0737
Mailing Address - Country:US
Mailing Address - Phone:832-505-0139
Mailing Address - Fax:832-505-0161
Practice Address - Street 1:2785 GULF FWY S
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4979
Practice Address - Country:US
Practice Address - Phone:832-505-0139
Practice Address - Fax:832-505-0161
Is Sole Proprietor?:No
Enumeration Date:2007-11-11
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251275363LF0000X
TXAP113895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y3701OtherBCBSTX
TX8K2503Medicare PIN
TX8Y3701OtherBCBSTX
TX8L7552Medicare PIN
TX8L7555Medicare PIN