Individual provider · Type 1 NPI

Mayra Elizondo, FNP-C

Nurse Practitioner · Tyler, TX

NPI number 1073120762 Active

Practice location

1133 Medical Dr
Tyler, TX 75701-2130

Fax (903) 595-5128

Other practice locations

  • 910 E Houston St Ste 330, Tyler, TX 75702-8368 · (903) 606-7995

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP1097801 (TX)
Nurse Practitioner Primary 363L00000XAP1097801 (TX)
Registered Nurse 163W00000X944960 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073120762

Mayra Elizondo, FNP-C's National Provider Identifier is 1073120762, issued on Sep 26, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Feb 23, 2026.