Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP136010 | TX |
NPI | 1023523107 |
---|---|
Provider Name | Ms. Cynthia Montanez |
First Address | El Paso, TX 79935-3040 |
Second Address | El Paso, TX 79935-3040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2017 |
Last Update Date | 09/02/2021 |