Individual
ALYNNA A MANRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1626 MEDICAL CENTER DR, STE 503, EL PASO, TX 79902-5010
(915) 532-3770
(915) 313-0487
Mailing address
PO BOX 650268, DALLAS, TX 75265-0268
(915) 532-3770
(915) 313-0487
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
751228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751228
751228
TX
Enumeration date
03/01/2013
Last updated
04/04/2013
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