Individual
MRS. LYNDA PENA HUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, PHMNP
Contact information
Practice address
8500 BOEING DR, EL PASO, TX 79925-1224
(915) 599-6600
(915) 629-2680
Mailing address
PO BOX 972733, EL PASO, TX 79997-2733
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
757699
TX
363LP0200X
Pediatric Nurse Practitioner
AP127048
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP127048
TX
Other
Enumeration date
01/10/2015
Last updated
04/05/2024
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