Provider Demographics
NPI:1770142507
Name:LUNA, PAOLA (FNP-C)
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:
Last Name:LUNA
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 JOHN PHELAN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6853
Mailing Address - Country:US
Mailing Address - Phone:915-701-4533
Mailing Address - Fax:
Practice Address - Street 1:811 CHELSEA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-4925
Practice Address - Country:US
Practice Address - Phone:915-259-1390
Practice Address - Fax:888-824-5635
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX921806163W00000X
TX1074222363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse