Individual provider · Type 1 NPI
Edra Manzo
Family Nurse Practitioner · El Paso, TX
NPI number
1306505300
Active
Practice location
1801 Murchinson Dr.
El Paso, TX 79902
Mailing address
6725 Desert Canyon Dr
El Paso, TX 79912-7604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1058636 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306505300
Edra Manzo's National Provider Identifier is 1306505300, issued on Dec 17, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in El Paso, TX. The record was last updated on Dec 17, 2021.