Individual
SICILY WAWIRA MUTINDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 TRANS MOUNTAIN RD, EL PASO, TX 79911-3601
(915) 581-8814
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP143970
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP143970
TX
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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