Provider Demographics
NPI:1881272375
Name:YANEZ, PRISCILLA (FNP-C)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:YANEZ
Suffix:
Gender:F
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 1:4875 MAXWELL AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-1559
Mailing Address - Country:US
Mailing Address - Phone:915-533-7057
Mailing Address - Fax:915-757-1640
Practice Address - Street 1:4875 MAXWELL AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-1559
Practice Address - Country:US
Practice Address - Phone:915-533-7057
Practice Address - Fax:915-757-1640
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1033440363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily