Provider Demographics
NPI:1457631764
Name:GONZALEZ, SANDRA BELTRAN (ACNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:SANDRA
Middle Name:BELTRAN
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3027 NORWICH ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2349
Mailing Address - Country:US
Mailing Address - Phone:713-240-4875
Mailing Address - Fax:
Practice Address - Street 1:3027 NORWICH ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2349
Practice Address - Country:US
Practice Address - Phone:713-240-4875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX632892363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care