Individual
MARIA LUISA FANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2300 MCKINLEY AVE, EL PASO, TX 79930-2240
(915) 562-3444
(915) 834-3772
Mailing address
6308 CASPER RDG, EL PASO, TX 79912-8130
(915) 833-8154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
504888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO82N4434
—
TX
Enumeration date
04/04/2007
Last updated
07/08/2007
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