Provider Demographics
NPI:1336501352
Name:ZAMORA, ROSA ISELA (DOCTORATE OF NURSING)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:ISELA
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:DOCTORATE OF NURSING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4364 LOMA RICA WAY
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3800
Mailing Address - Country:US
Mailing Address - Phone:915-201-7590
Mailing Address - Fax:
Practice Address - Street 1:4364 LOMA RICA WAY
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-3800
Practice Address - Country:US
Practice Address - Phone:915-201-7590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130033363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health