Individual
LAURA PENAFIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
2931 MONTANA AVE, EL PASO, TX 79903-2409
(915) 562-4246
Mailing address
PO BOX 346, SAN ELIZARIO, TX 79849-0346
(915) 319-9100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP126961
TX
363LG0600X
Gerontology Nurse Practitioner
AP126961
TX
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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