Individual
MS. ELIZABETH HEREDIA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
4659 COHEN AVE UNIT C, EL PASO, TX 79924-4430
(915) 751-1152
(800) 599-1574
Mailing address
4659 COHEN AVE UNIT C, EL PASO, TX 79924-4430
(915) 751-1152
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
719183
TX
Other
Enumeration date
11/04/2011
Last updated
06/17/2025
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