Provider Demographics
NPI:1700245966
Name:CHAUDHRY, RABIA (FNP)
Entity Type:Individual
Prefix:
First Name:RABIA
Middle Name:
Last Name:CHAUDHRY
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 1:3109 INDIAN SUMMER TRL
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5051
Mailing Address - Country:US
Mailing Address - Phone:302-894-3374
Mailing Address - Fax:
Practice Address - Street 1:3109 INDIAN SUMMER TRL
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5051
Practice Address - Country:US
Practice Address - Phone:302-894-0940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX868281163W00000X
TXAP127116363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse