Provider Demographics
NPI:1487250114
Name:LOZANO, NATHALI ISADORA (FNP-BC)
Entity type:Individual
Prefix:
First Name:NATHALI
Middle Name:ISADORA
Last Name:LOZANO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S CLOSNER BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4660
Mailing Address - Country:US
Mailing Address - Phone:956-468-2999
Mailing Address - Fax:956-468-2997
Practice Address - Street 1:721 W HARRISON AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6016
Practice Address - Country:US
Practice Address - Phone:956-247-7000
Practice Address - Fax:956-399-6331
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1017558363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1017558OtherTEXAS BOARD OF NURSING LICENSE