Provider Demographics
NPI:1871946913
Name:SANTANA, GILBERTA (APRN)
Entity type:Individual
Prefix:
First Name:GILBERTA
Middle Name:
Last Name:SANTANA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 INDIAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-4248
Mailing Address - Country:US
Mailing Address - Phone:469-231-4254
Mailing Address - Fax:
Practice Address - Street 1:1815 W. CAMPBELL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044
Practice Address - Country:US
Practice Address - Phone:469-231-7167
Practice Address - Fax:972-696-0617
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131409363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily