Individual
VANESSA ELIZALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP, PMHNP-BC
Contact information
Practice address
4539 N 22ND ST STE 4387, PHOENIX, AZ 85016-4639
(480) 684-2595
(602) 887-3724
Mailing address
104 CONDOR DR, LOS FRESNOS, TX 78566-0190
(832) 801-2348
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1179198
TX
Other
Enumeration date
10/30/2024
Last updated
04/29/2025
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