Individual
MRS. ELSA ABRAHAM THURUTHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACAGNP
Contact information
Practice address
2001 INWOOD RD BLDG 35TH, DALLAS, TX 75390-4048
(469) 291-3372
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
836549
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
836549
TX
363LG0600X
Gerontology Nurse Practitioner
836549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336173508
—
TX
Enumeration date
03/04/2014
Last updated
02/07/2019
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