Individual
MRS. IRENE RAQUEL HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
7121 S PADRE ISLAND DR STE 100, CORPUS CHRISTI, TX 78412-4939
(361) 993-6000
(361) 993-0266
Mailing address
7121 S PADRE ISLAND DR STE 100, CORPUS CHRISTI, TX 78412-4939
(361) 993-6000
(361) 993-0266
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP122238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104322768
NATIONAL CERTIFICATION CORPORATION - WHNP-BC
—
05
—
329976003
—
TX
01
—
AP122238
TX BOARD OF NURSING - WOMEN'S HEALTH NURSE PRACTITIONER
TX
Enumeration date
04/19/2013
Last updated
08/11/2020
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