Provider Demographics
NPI:1154099109
Name:ZERMENO, JUANITA (RN)
Entity Type:Individual
Prefix:
First Name:JUANITA
Middle Name:
Last Name:ZERMENO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 N LEE ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1707
Mailing Address - Country:US
Mailing Address - Phone:915-532-2575
Mailing Address - Fax:
Practice Address - Street 1:221 N LEE ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1707
Practice Address - Country:US
Practice Address - Phone:915-532-2575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX753772163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse