Provider Demographics
NPI:1861072118
Name:FLORES, SANDRA (APRN, FNP)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 S SESAME SQ STE 5
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7941
Mailing Address - Country:US
Mailing Address - Phone:956-423-4434
Mailing Address - Fax:956-423-4443
Practice Address - Street 1:1821 S SESAME SQ STE 5
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7941
Practice Address - Country:US
Practice Address - Phone:956-423-4434
Practice Address - Fax:956-423-4443
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP109615363LF0000X
TX1054880363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily