KERON ANDRE MCNICHOL


Address: 14213 Gil Reyes Dr, El Paso, TX 79938-2710
Phone: 9157042683

KERON ANDRE MCNICHOL (NPI# 1043837362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043837362
Entity Type Individual
Full Name KERON ANDRE MCNICHOL
Credential RN
Practice Address 14213 Gil Reyes Dr
El Paso
TX 79938-2710
Mailing Address 3413 Hickman St Apt A
El Paso
TX 79936-1843
Practice Telephone 9157042683
Mailing Telephone 9157042683
Enumeration Date 2020-07-02
Last Update Date 2020-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
955774 TX Nursing Service Providers

Office Location

Street Address 14213 GIL REYES DR
City EL PASO
State TX
Zip Code 79938-2710

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1881151892 Alina Escobar Registered Nurse 13237 Walker Post Ave, El Paso, TX 79928-2510 2019-02-26
1891975728 Richard Saffa Sennessie Registered Nurse 10048 Suez Dr, El Paso, TX 79925-4637 2007-11-08
1265628218 Ibrahim Nimer Khattab Registered Nurse 7125 Ramada Dr, El Paso, TX 79912-2725 2007-09-23
1265420558 Dj Healthcare Services Inc Registered Nurse 6633 N Mesa St, #315, El Paso, TX 79912-4427 2005-10-11
1932601341 John Lucero Registered Nurse 221 N Kansas St, El Paso, TX 79901-1443 2018-03-01
1821233552 Marylou Bautista Registered Nurse 5001 N Piedras St, El Paso, TX 79930-4210 2008-12-09

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Competitor

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City EL PASO
Zip Code 79938

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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