Individual
DEBORAH SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
701 NITA FAY DR, EL PASO, TX 79912-1401
(915) 581-1265
Mailing address
701 NITA FAY DR, EL PASO, TX 79912-1401
(915) 581-1265
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP133577
TX
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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