Provider Demographics
NPI:1043211527
Name:LAW, PATRICIA ZLOTEK (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ZLOTEK
Last Name:LAW
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:ZLOTEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:8061 ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:77915-3667
Mailing Address - Country:US
Mailing Address - Phone:915-859-7545
Mailing Address - Fax:
Practice Address - Street 1:8061 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915
Practice Address - Country:US
Practice Address - Phone:915-859-7545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX695678363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130880104OtherGROUP MEDICAID
TX451901OtherGROUP MEDICARE
TX165745401Medicaid
TX1831267079OtherGROUP NPI
TX165745401Medicaid
TX1831267079OtherGROUP NPI