Provider Demographics
NPI:1518196351
Name:ORTIZ-AVALOS, VANESSA LYNN (FNP)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:LYNN
Last Name:ORTIZ-AVALOS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:LYNN
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 W LOSOYA ST
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-5858
Mailing Address - Country:US
Mailing Address - Phone:830-488-6020
Mailing Address - Fax:830-488-6030
Practice Address - Street 1:114 W LOSOYA ST
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-5858
Practice Address - Country:US
Practice Address - Phone:830-488-6020
Practice Address - Fax:830-488-6030
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX763956163W00000X
TXAP136990363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP136990OtherAPRN
TX763956OtherLICENSE