Provider Demographics
NPI:1730796020
Name:UZCATEGUI, ANDREA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:UZCATEGUI
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:DANIELA
Other - Last Name:UZCATEGUI-PIMENTEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2414 SLATE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6438
Mailing Address - Country:US
Mailing Address - Phone:832-633-8088
Mailing Address - Fax:
Practice Address - Street 1:6306 FAIRBANKS N HOUSTON RD STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5193
Practice Address - Country:US
Practice Address - Phone:832-831-9094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1015644363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX420936301Medicaid