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General NPI Number Information
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NPI Number | 1194151217
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Entity Type | Individual
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Provider Name | IVONNE ESPINOSA FNP
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Gender | Female
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 6090 SURETY DR STE 400
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City | EL PASO
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State | TX
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Zip | 79905-2060
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Country | US
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Telephone | 915-979-7402
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Fax |
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Provider Business Mailing Address
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Address Line | 6090 SURETY DR STE 400
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City | EL PASO
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State | TX
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Zip | 79905-2060
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Country | US
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Telephone | 915-979-7402
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Fax | 915-300-1947
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 749317
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 749317
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP124716
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License Number State | TX
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