Provider Demographics
NPI:1871629311
Name:GUERRA, ADRIANE KRAFT (WHNP,FNP)
Entity Type:Individual
Prefix:
First Name:ADRIANE
Middle Name:KRAFT
Last Name:GUERRA
Suffix:
Gender:F
Credentials:WHNP,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 N LEE TREVINO DR STE A2
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-5164
Mailing Address - Country:US
Mailing Address - Phone:915-440-0060
Mailing Address - Fax:915-440-0081
Practice Address - Street 1:1600 N LEE TREVINO DR STE A2
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5164
Practice Address - Country:US
Practice Address - Phone:915-440-0060
Practice Address - Fax:915-440-0081
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX643875363LF0000X
TXAP108542363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily