Provider Demographics
NPI:1568750040
Name:GUERRA, NORMA L (NP)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:L
Last Name:GUERRA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1348
Mailing Address - Street 2:
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076-1348
Mailing Address - Country:US
Mailing Address - Phone:956-744-3421
Mailing Address - Fax:855-532-5848
Practice Address - Street 1:210 RATHMELL AVENUE
Practice Address - Street 2:
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076
Practice Address - Country:US
Practice Address - Phone:956-765-4367
Practice Address - Fax:855-532-5848
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX619637363LF0000X
TXAP120656363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1568750040Medicaid