Provider Demographics
NPI:1275068322
Name:CABRERA, YADIRA IVONNE (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:YADIRA
Middle Name:IVONNE
Last Name:CABRERA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 E PAISANO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-3913
Mailing Address - Country:US
Mailing Address - Phone:915-774-2500
Mailing Address - Fax:915-774-2551
Practice Address - Street 1:5100 E PAISANO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-3913
Practice Address - Country:US
Practice Address - Phone:915-774-2500
Practice Address - Fax:915-774-2551
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03221363L00000X
TXAP133954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner