Individual
IDY MARGARITA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1549 PRADO DEL SOL DR, EL PASO, TX 79936-6205
(915) 328-4487
Mailing address
1549 PRADO DEL SOL DR, EL PASO, TX 79936-6205
(915) 328-4487
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1016401
TX
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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