Provider Demographics
NPI:1699206052
Name:SERNA, CORINA GARCIA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:CORINA
Middle Name:GARCIA
Last Name:SERNA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4700 MILLENIA BLVD STE 650
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-6013
Mailing Address - Country:US
Mailing Address - Phone:713-673-9000
Mailing Address - Fax:855-895-8185
Practice Address - Street 1:1910 JOHN RALSTON RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77013-5531
Practice Address - Country:US
Practice Address - Phone:713-673-9000
Practice Address - Fax:855-895-8185
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP133463363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner