Provider Demographics
NPI:1689867640
Name:PRN NURSING AGENCY OF EL PASO
Entity Type:Organization
Organization Name:PRN NURSING AGENCY OF EL PASO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CARMEN
Authorized Official - Last Name:WIRZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-329-4163
Mailing Address - Street 1:9530 VISCOUNT BLVD STE 1G
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7055
Mailing Address - Country:US
Mailing Address - Phone:915-329-4163
Mailing Address - Fax:915-594-4640
Practice Address - Street 1:9530 VISCOUNT BLVD
Practice Address - Street 2:STE. 1G
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7050
Practice Address - Country:US
Practice Address - Phone:915-329-4163
Practice Address - Fax:915-594-4640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health