MEDICARE: CHRISTINE Y. SAMBRANO DNP, FNP-C, APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	799506	TX
2	363LF0000X	Family Nurse Practitioner	1098320	TX

General Provider Information

NPI Number	:	1518432533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE Y. SAMBRANO DNP, FNP-C, APRN

Provider Business Mailing Address
First Line	:	1171 LARRY MAHAN DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-6509
Country	:	US
Telephone Number	:	915-532-1197
Fax Number	:	915-532-1198

Provider Business Practice Location Address
First Line	:	1171 LARRY MAHAN DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-6509
Country	:	US
Telephone Number	:	915-532-1197
Fax Number	:	915-532-1198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2018
Last Update Date	:	10/17/2024

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