Individual
LISA MARIE ELIZALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
902 S LOOP 499 APT N4, HARLINGEN, TX 78550-2522
(956) 998-9997
Mailing address
902 S LOOP 499 APT N4, HARLINGEN, TX 78550-2522
(956) 998-9997
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP132050
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP132050
TX
Other
Enumeration date
10/18/2016
Last updated
09/01/2020
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