Individual
MRS. AUDRINA CATHLEEN BOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
4532 N MESA ST, EL PASO, TX 79912-6286
(915) 247-3150
Mailing address
4532 N MESA ST, EL PASO, TX 79912-6286
(915) 247-3150
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
785666
TX
363LG0600X
Gerontology Nurse Practitioner
785666
TX
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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