Individual
ELYSE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 PAPPAS ST, LAREDO, TX 78041-1701
(956) 794-3410
Mailing address
11208 CANTABRIA DR, LAREDO, TX 78045-7171
(956) 531-0271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1122581
TX
164X00000X
Licensed Vocational Nurse
Primary
322397
TX
Other
Enumeration date
08/04/2018
Last updated
04/16/2026
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