Provider Demographics
NPI:1003678681
Name:ZAMORA, MELISSA GUADALUPE (APRN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:GUADALUPE
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10541 TOMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7811
Mailing Address - Country:US
Mailing Address - Phone:915-539-7968
Mailing Address - Fax:915-249-3960
Practice Address - Street 1:7470 CIMARRON PLZ STE 300
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-2220
Practice Address - Country:US
Practice Address - Phone:915-249-3958
Practice Address - Fax:915-249-3960
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1143499363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily