Lorena Carrillo Henderson, RN, FNP-C
Nurse Practitioner, Family in El Paso, TX. Individual provider (NPI-1).
NPI number1013286830
StatusActive
Last updated in NPPESJan 10, 2022
Details
- NPI
- 1013286830
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lorena Carrillo Henderson
- Credential
- RN, FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 22, 2011
- Certification date
- Jan 10, 2022
- Last updated
- Jan 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 607418 | TX | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | CNP-02601 | NM |
Practice location
4301 N Mesa St Ste 100El Paso, TX 79902-1118
Phone 915-613-7716 · Fax 855-710-7290
Mailing address
7248 Canyon Wren AveEl Paso, TX 79911-3067
Phone 915-613-7716 · Fax 855-710-7290
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