Provider Demographics
NPI:1366885212
Name:ESTRADA, ROSANNA (MSN, ACNS-BC, FNP-BC)
Entity type:Individual
Prefix:
First Name:ROSANNA
Middle Name:
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:MSN, ACNS-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5886 DE ZAVALA RD STE 102-505
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2268
Mailing Address - Country:US
Mailing Address - Phone:210-367-9065
Mailing Address - Fax:210-212-9197
Practice Address - Street 1:137 PALO ALTO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-3736
Practice Address - Country:US
Practice Address - Phone:210-572-5330
Practice Address - Fax:210-368-2816
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX724783364SA2200X
TXAP122388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health