Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP1455945 | TX |
NPI | 1023630977 |
---|---|
Provider Name | Andrea Eloisa Salcedo |
First Address | El Paso, TX 79936-3953 |
Second Address | El Paso, TX 79902-4023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2020 |
Last Update Date | 14/05/2020 |