Basic Information
Provider Information
NPI: 1447644778
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESPINOZA
FirstName: SANTA
MiddleName: PATRICIA
NamePrefix:  
NameSuffix:  
Credential: APRN-FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ESPINOZA
OtherFirstName: PATRICIA
OtherMiddleName: S.
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: 3537 SOUTH INTERSTATE 35E
Address2: STE. 210
City: DENTON
State: TX
PostalCode: 76210
CountryCode: US
TelephoneNumber: 9403825902
FaxNumber: 9403815249
Practice Location
Address1: 3537 SOUTH INTERSTATE 35E
Address2: STE. 210
City: DENTON
State: TX
PostalCode: 76210
CountryCode: US
TelephoneNumber: 9403825902
FaxNumber: 9403815249
Other Information
ProviderEnumerationDate: 03/25/2015
LastUpdateDate: 03/25/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP127100TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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