Individual
ISAACC GUILLERMO NINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC
Contact information
Practice address
3804 S. JACKSON RD., STE. #1, EDINBURG, TX 78539-6101
(956) 296-3001
(956) 396-3000
Mailing address
602 COFFEE MILL DR, EDINBURG, TX 78541-1310
(956) 878-2160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
736520
TX
363L00000X
Nurse Practitioner
Primary
AP138261
TX
363LF0000X
Family Nurse Practitioner
AP138261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403739202
—
TX
01
—
H08LW21601
BCBS
TX
Enumeration date
07/27/2018
Last updated
12/13/2021
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