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Kendra L Mcnellye-mattox, RN,DFNP-BC
Family Nurse Practitioner in El Paso, Texas
NPI 1295712776

Kendra L Mcnellye-mattox is a Family Nurse Practitioner based in El Paso, TX and is specialized in Family. Kendra L Mcnellye-mattox practices in El Paso, TX and has the professional credentials of RN,DFNP-BC. The NPI Number for Kendra L Mcnellye-mattox is 1295712776 and holds a License No. AP124124 (Texas).

The current practice location address for Kendra L Mcnellye-mattox is 8061 Alameda Ave, El Paso, TX and can be reached out via phone at 915-351-8972 and via fax at 915-351-6033.

Location: 8061 Alameda Ave, El Paso, TX, 79915-4705
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Provider Profile Details
NPI Number
1295712776
Provider Name
Kendra L Mcnellye-mattox
Credential
RN,DFNP-BC
Provider Entity Type
Individual
Gender
Female
Address
8061 Alameda Ave, El Paso, TX, 79915-4705
Phone Number
915-351-8972
Fax Number
915-351-6033
Provider Enumeration Date
12/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000487073 01 IN BLUE SHIELD
P00301672 01 IN RR MEDICARE
83625739 05 NM
F1104136 01 AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION #
200491110 05 IN
institution
Provider Business Practice Location Address Details
Address
8061 Alameda Ave
City
State
Zip
79915-4705
Phone Number
915-351-8972
Fax Number
915-351-6033
person
Provider Business Mailing Address Details
Address
8061 Alameda Ave
City
State
Zip
79915-4705
Phone Number
915-351-8972
Fax Number
915-351-6033
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP124124 (Texas)
Definition
Definition to come...
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