Healthcare Provider Details

I. General information

NPI: 1902602006
Provider Name (Legal Business Name): SARAH ELIZABETH CUELLAR APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5502 S MCCOLL RD
EDINBURG TX
78539-8747
US

IV. Provider business mailing address

PO BOX 749
PHARR TX
78577-1614
US

V. Phone/Fax

Practice location:
  • Phone: 956-362-2229
  • Fax: 956-362-4088
Mailing address:
  • Phone: 956-362-2229
  • Fax: 956-362-4088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1190555
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: