Provider Demographics
NPI:1376650077
Name:SOLIS, NANCI (APRN-BC)
Entity Type:Individual
Prefix:
First Name:NANCI
Middle Name:
Last Name:SOLIS
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2496 RICKER RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79916
Mailing Address - Country:US
Mailing Address - Phone:915-742-0978
Mailing Address - Fax:915-742-0080
Practice Address - Street 1:2496 RICKER RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79916
Practice Address - Country:US
Practice Address - Phone:915-742-0978
Practice Address - Fax:915-742-0978
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666790363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX666790OtherAPRN LICENSE NUMBER
TXMS1424213OtherDEA REGISTRATION NUMBER