Provider Demographics
NPI:1003642901
Name:SIFUENTES, YOLANDA ADELINA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:ADELINA
Last Name:SIFUENTES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 MURCHISON DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-1101
Mailing Address - Country:US
Mailing Address - Phone:915-422-6761
Mailing Address - Fax:
Practice Address - Street 1:9565 DYER ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4791
Practice Address - Country:US
Practice Address - Phone:915-974-2200
Practice Address - Fax:855-592-3239
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1174622363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health