Provider Demographics
NPI:1942340807
Name:PRN NURSING AGENCY OF EL PASO LLC
Entity Type:Organization
Organization Name:PRN NURSING AGENCY OF EL PASO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDEN
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DEL CARMEN
Authorized Official - Last Name:WIRZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-329-4163
Mailing Address - Street 1:6800 CANYON RUN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7422
Mailing Address - Country:US
Mailing Address - Phone:915-329-4163
Mailing Address - Fax:
Practice Address - Street 1:6800 CANYON RUN DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7422
Practice Address - Country:US
Practice Address - Phone:915-329-4163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care