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Individual

ITZEL IBARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2121 E GRIFFIN PKWY STE 10, MISSION, TX 78572-3072
(956) 583-7393
(956) 583-7309
Mailing address
PO BOX 850001, DEPT 8340, ORLANDO, FL 32885-0001
(813) 536-7277
(855) 830-1722

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
887035
TX
363L00000X
Nurse Practitioner
Primary
1034540
TX
363LF0000X
Family Nurse Practitioner
1034540
TX

Other

Enumeration date
05/20/2019
Last updated
04/24/2026
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