Individual provider · Type 1 NPI

Kathryn Anne Reveles, P.N.P.

Pediatric Nurse Practitioner · El Paso, TX

NPI number 1407850118 Active

Practice location

9870 Gateway Blvd N, Ste B7
El Paso, TX 79924-4425

Call (915) 751-5245 Map

Fax (915) 751-5255

Mailing address

7100 Westwind Dr, Ste 310
El Paso, TX 79912-1743

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X513440 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1407850118

Kathryn Anne Reveles, P.N.P.'s National Provider Identifier is 1407850118, issued on Jun 9, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in El Paso, TX. The record was last updated on Jul 8, 2007.