CARMEN SANTIAGO APRN-CNP
NPI 1003509373
Nurse Practitioner - Primary Care in Southlake, TX
Active since June 01, 2023
About Carmen Santiago Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARMEN SANTIAGO APRN-CNP (NPI 1003509373) is an individual primary care provider in Southlake, Texas, licensed in Texas (1120700) and active in the NPI registry since June 2023.
NPPES Registry Identity
NPI1003509373
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCARMEN SANTIAGOCredential: APRN-CNP
Location Address1110 N CARROLL AVESouthlake, TX 76092-5306
Mailing Address1110 N Carroll AveSouthlake, TX 76092-5306 · (817) 310-1100 · Fax (817) 310-1197
Phone(817) 310-1100
Fax(817) 310-1197
Sole ProprietorYes
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1003509373 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · 1120700
1110 N CARROLL AVE, Southlake, TX 76092
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Technician (Personal Care Attendant)
1110 N CARROLL AVE
SOUTHLAKE, TX 76092
SOUTHLAKE, TX 76092
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003509373, enumerated as an "individual" on June 01, 2023.
The provider is located at 1110 N CARROLL AVE SOUTHLAKE, TX 76092 and the phone number is (817) 310-1100.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.