Provider Demographics
NPI:1982253183
Name:GUEVARA, KARLA J (FNP)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:J
Last Name:GUEVARA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:JAVIVE
Other - Last Name:GUEVARA VILLEGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 W CASTELLANO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6119
Mailing Address - Country:US
Mailing Address - Phone:915-240-4509
Mailing Address - Fax:
Practice Address - Street 1:114 W CASTELLANO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6119
Practice Address - Country:US
Practice Address - Phone:915-532-3721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141964363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner