Provider Demographics
NPI:1700232980
Name:AMBRIZ-SANCHEZ, RAQUEL (FNP)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:AMBRIZ-SANCHEZ
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 1:5505 S EXPRESSWAY 77
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3214
Mailing Address - Country:US
Mailing Address - Phone:956-440-2800
Mailing Address - Fax:956-440-2817
Practice Address - Street 1:5505 S EXPRESSWAY 77
Practice Address - Street 2:SUITE 203
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3214
Practice Address - Country:US
Practice Address - Phone:956-440-2800
Practice Address - Fax:956-440-2817
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130903363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology