Provider Demographics
NPI:1609564202
Name:GAYTAN, VERONICA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:GAYTAN
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 1:921 CORTIJO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-2503
Mailing Address - Country:US
Mailing Address - Phone:915-490-8084
Mailing Address - Fax:
Practice Address - Street 1:921 CORTIJO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-2503
Practice Address - Country:US
Practice Address - Phone:915-490-8084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1114100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily