Provider Demographics
NPI:1710445143
Name:FLORES, NAOMI RENEE (LVN)
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:RENEE
Last Name:FLORES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TATUM
Mailing Address - State:TX
Mailing Address - Zip Code:75691-1927
Mailing Address - Country:US
Mailing Address - Phone:903-431-2662
Mailing Address - Fax:
Practice Address - Street 1:160 CHERRY ST
Practice Address - Street 2:
Practice Address - City:TATUM
Practice Address - State:TX
Practice Address - Zip Code:75691-1927
Practice Address - Country:US
Practice Address - Phone:903-431-2662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347391164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse