Healthcare Provider Details

I. General information

NPI: 1255562781
Provider Name (Legal Business Name): JUANA CANTU CABRERA RN, DNP, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANIE CANTU CABRERA SEXUAL ASSAULT NURSE

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 SUNRISE LN
PALMHURST TX
78573-8370
US

IV. Provider business mailing address

1707 SUNRISE LN
PALMHURST TX
78573-8370
US

V. Phone/Fax

Practice location:
  • Phone: 956-867-2221
  • Fax:
Mailing address:
  • Phone: 956-867-2221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number547021
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number547021
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: