Individual
KATHRYN ANNE REVELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
9870 GATEWAY BLVD N, STE B7, EL PASO, TX 79924-4425
(915) 751-5245
(915) 751-5255
Mailing address
7100 WESTWIND DR, STE 310, EL PASO, TX 79912-1743
(915) 544-2455
(915) 544-3149
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
513440
TX
Other
Enumeration date
06/09/2005
Last updated
07/08/2007
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