MEDICARE: NORMA ALICIA OCHOA CPNP-PC

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	363LP0200X	Pediatric Nurse Practitioner	1057793	TX

General Provider Information

NPI Number	:	1235879057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMA ALICIA OCHOA CPNP-PC

Provider Business Mailing Address
First Line	:	14282 HACIENDA ROCK DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-2831
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1390 GEORGE DIETER DR STE 100
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7423
Country	:	US
Telephone Number	:	915-591-7704
Fax Number	:	915-591-7734

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

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	07/28/2022

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