Individual
MS. BIANCA M ONTIVEROS LOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7430 REMCON CIR, BLDG A, EL PASO, TX 79912-3514
(915) 584-0051
(915) 833-1114
Mailing address
7430 REMCON CIR, BLDG A, EL PASO, TX 79912-3514
(915) 584-0051
(915) 833-1114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348780301
—
TX
01
—
409091YLPS
WELLMED PTAN
TX
Enumeration date
04/01/2015
Last updated
10/27/2015
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