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NPI Code Detail

MEDICARE: MS. IVONNE ESPINOSA FNP

MEDICARE:  MS. IVONNE  ESPINOSA  FNP
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
1363LF0000XFamily Nurse Practitioner749317TX
2363LP0808XPsychiatric/Mental Health Nurse Practitioner749317TX
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP124716TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11831267079OTHERTXGROUP NPI
2130880104OTHERTXGROUP TPI

General Provider Information

NPI Number : 1194151217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. IVONNE ESPINOSA FNP
Provider Business Mailing Address
First Line : 6090 SURETY DR STE 400
Second Line :
City : EL PASO
State : TX
Zip : 79905-2060
Country : US
Telephone Number : 915-979-7402
Fax Number : 915-300-1947
Provider Business Practice Location Address
First Line : 6090 SURETY DR STE 400
Second Line :
City : EL PASO
State : TX
Zip : 79905-2060
Country : US
Telephone Number : 915-979-7402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2013
Last Update Date : 06/27/2024

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Directions to “ MS. IVONNE ESPINOSA FNP” Practice Location

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