Individual
MISS SUSAN ALTAVAS SIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1401 E 8TH ST, WESLACO, TX 78596-6640
(956) 969-5300
Mailing address
1409 W BUSINESS 83, APT. 217, WESLACO, TX 78596-5676
(305) 720-0719
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
683271
TX
363LF0000X
Family Nurse Practitioner
683271
TX
Other
Enumeration date
08/21/2010
Last updated
04/03/2023
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