Provider Demographics
NPI:1295886992
Name:SALCIDO, MARIA ESTELA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ESTELA
Last Name:SALCIDO
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-4524
Mailing Address - Country:US
Mailing Address - Phone:915-872-0208
Mailing Address - Fax:
Practice Address - Street 1:2001 WIGGINS
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79968-0001
Practice Address - Country:US
Practice Address - Phone:915-747-5624
Practice Address - Fax:915-747-5015
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX564170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily