MEDICARE: AMBER R GIRON RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	929024	TX

General Provider Information

NPI Number	:	1124630587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER R GIRON RN

Provider Business Mailing Address
First Line	:	11607 PELLICANO DR APT 1722
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-6619
Country	:	US
Telephone Number	:	915-494-4477
Fax Number	:

Provider Business Practice Location Address
First Line	:	11607 PELLICANO DR APT 1722
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-6619
Country	:	US
Telephone Number	:	915-494-4477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2020
Last Update Date	:	08/18/2020

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Directions to “ AMBER R GIRON RN” Practice Location

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