Individual
MS. CYNTHIA SHAW IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1545 GOODYEAR DR, EL PASO, TX 79936-6063
(915) 280-4684
(915) 534-3043
Mailing address
1545 GOODYEAR DR STE D, EL PASO, TX 79936-6063
(915) 280-4684
(915) 594-3043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
630269
TX
Other
Enumeration date
09/25/2006
Last updated
05/11/2023
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