Provider Demographics
NPI:1629449509
Name:TOFILON, JANETT (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:JANETT
Middle Name:
Last Name:TOFILON
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:JANETT
Other - Middle Name:
Other - Last Name:NIETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP-PC
Mailing Address - Street 1:300 S ZARAGOZA RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-6635
Mailing Address - Country:US
Mailing Address - Phone:915-790-5707
Mailing Address - Fax:915-521-2227
Practice Address - Street 1:300 S ZARAGOZA RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-6635
Practice Address - Country:US
Practice Address - Phone:915-790-5707
Practice Address - Fax:915-521-2227
Is Sole Proprietor?:No
Enumeration Date:2015-10-17
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129337363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics