Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 836549 | TX |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 836549 | TX |
N | 363LG0600X | Nurse Practitioner - Gerontology | 836549 | TX |
NPI | 1013332782 |
---|---|
Provider Name | Mrs. Elsa Abraham Thuruthel |
First Address | Dallas, TX 75284-7208 |
Second Address | Dallas, TX 75390-4048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2014 |
Last Update Date | 07/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
336173508 | (05) | TX |