MEDICARE: NANCI SOLIS APRN-BC

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	363LF0000X	Family Nurse Practitioner	666790	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	666790	OTHER	TX	APRN LICENSE NUMBER

General Provider Information

NPI Number	:	1376650077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCI SOLIS APRN-BC

Provider Business Mailing Address
First Line	:	2496 RICKER RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79916
Country	:	US
Telephone Number	:	915-742-0978
Fax Number	:	915-742-0080

Provider Business Practice Location Address
First Line	:	2496 RICKER RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79916
Country	:	US
Telephone Number	:	915-742-0978
Fax Number	:	915-742-0978

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	01/16/2024

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