Provider Demographics
NPI:1881003952
Name:SANCHEZ, GEORGINA (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:GEORGINA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E FERN AVE
Mailing Address - Street 2:STE B-3
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1466
Mailing Address - Country:US
Mailing Address - Phone:956-971-9548
Mailing Address - Fax:956-686-0928
Practice Address - Street 1:1301 E FERN AVE
Practice Address - Street 2:STE B-3
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1466
Practice Address - Country:US
Practice Address - Phone:956-971-9548
Practice Address - Fax:956-686-0928
Is Sole Proprietor?:No
Enumeration Date:2014-08-03
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126108363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX447682YLPSOtherWELLMED PTAN
TX351346701Medicaid