Provider Demographics
NPI:1144593138
Name:MILLS-REYES, ELIZABETH RENEE (FNP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:RENEE
Last Name:MILLS-REYES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 E TRENTON RD STE 20
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9762
Mailing Address - Country:US
Mailing Address - Phone:956-348-0140
Mailing Address - Fax:
Practice Address - Street 1:3401 W MILE 5 RD STE 1
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-5314
Practice Address - Country:US
Practice Address - Phone:956-580-2145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201800203NP-PP363LF0000X
TX1031809363L00000X
ARA003791363LF0000X
AL1-116555363LF0000X
GARN229054363LF0000X
TN16893363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily