person
Mrs. Lorraine Michelle Mata
Pediatric Nurse Practitioner in El Paso, Texas
NPI 1619647393

Lorraine Michelle Mata is a Pediatric Nurse Practitioner based in El Paso, TX and is specialized in Pediatrics. Lorraine Michelle Mata practices in El Paso, TX. The NPI Number for Lorraine Michelle Mata is 1619647393 and holds a License No. 1039612 (Texas).

The current practice location address for Lorraine Michelle Mata is 1400 N El Paso St, El Paso, TX and can be reached out via phone at 915-577-0445 and via fax at 915-577-0509. You can also correspond with Lorraine Michelle Mata through the mailing address at 1400 N EL PASO ST STE E, EL PASO, TX - 79902-3438 (mailing address contact number: 915-577-0445).

Location: 1400 N El Paso St, El Paso, TX, 79902-3438
person
Provider Profile Details
NPI Number
1619647393
Provider Name
Lorraine Michelle Mata
Credential
Provider Entity Type
Individual
Gender
Female
Address
1400 N El Paso St, El Paso, TX, 79902-3438
Phone Number
915-577-0445
Fax Number
915-577-0509
Provider Enumeration Date
09/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 N El Paso St
City
State
Zip
79902-3437
Phone Number
915-577-0445
Fax Number
915-577-0509
person
Provider Business Mailing Address Details
Address
1400 N El Paso St
City
State
Zip
79902-3437
Phone Number
915-577-0445
Fax Number
915-577-0509
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1039612 (Texas)
Definition
Definition to come...
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