Healthcare Provider Details

I. General information

NPI: 1033601539
Provider Name (Legal Business Name): VALENTINA ORTIZ DUQUE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2018
Last Update Date: 05/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5825 GULFTON ST APT 3128
HOUSTON TX
77081-2521
US

IV. Provider business mailing address

5825 GULFTON ST APT 3128
HOUSTON TX
77081-2521
US

V. Phone/Fax

Practice location:
  • Phone: 832-206-7196
  • Fax:
Mailing address:
  • Phone: 832-206-7196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberAP137492
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: