Healthcare Provider Details

I. General information

NPI: 1194933127
Provider Name (Legal Business Name): ANDREA URIBE-SANDERS RNC, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA GALICIA RNC, WHNP

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 TRAWOOD DR SUITE 304
EL PASO TX
79936-4122
US

IV. Provider business mailing address

1132 DUKE CT
EL PASO TX
79903-3331
US

V. Phone/Fax

Practice location:
  • Phone: 915-593-2444
  • Fax:
Mailing address:
  • Phone: 915-772-7099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number223906
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: