Individual
MARY ALICE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
129036
TX
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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