MS. ELIZABETH HEREDIA BRAVO (NPI# 1700163748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700163748 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH HEREDIA BRAVO |
| Credential | MSN, RN, CPNP |
| Practice Address |
1400 N El Paso St Bldg A El Paso TX 79902-3437 |
| Mailing Address |
11513 Robert Lennox Dr El Paso TX 79934-3278 |
| Practice Telephone | 9155770444 |
| Mailing Telephone | 9157318914 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2014-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
719183 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366860868 | Elizabeth Bravo | Marriage & Family Therapist | 1236 Chapala St, Santa Barbara, CA 93101-3116 | 2014-04-01 |
| 1811279987 | Elizabeth Leonor Bravo | Counselor | 16314 Cornuta Ave, Bellflower, CA 90706 | 2011-09-15 |
| Street Address |
1400 N EL PASO ST BLDG A |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469245 | Rodolfo Fierro-stevens | Psychiatry & Neurology | 1400 N El Paso St, B, El Paso, TX 79902-3437 | 2005-07-07 |
| 1952629826 | Andres Domingo Boadella | Pediatrics | 1400 N El Paso St, Bldg E, El Paso, TX 79902-3437 | 2010-05-17 |
| 1740414747 | Oscar E Perez Md Pa | Counselor | 1400 N El Paso St, Bldg A, El Paso, TX 79902-3437 | 2009-05-06 |
| 1821269036 | Rosalinda T Sanchez | Nurse Practitioner | 1400 N El Paso St, E, El Paso, TX 79902-3437 | 2008-03-14 |
| 1962435370 | Pediatric Group of Central El Paso | Pediatrics | 1400 N El Paso St, Bldg. E, El Paso, TX 79902-3437 | 2006-07-09 |
| 1023096286 | Aboubakr A Bakr | Psychiatry & Neurology | 1400 N El Paso St, Bldg C, El Paso, TX 79902 | 2006-01-06 |
| 1528060969 | Antonio M. Ortega | Internal Medicine | 1400 N El Paso St, Building D, El Paso, TX 79902-3437 | 2005-08-15 |
| 1609875558 | Arturo Casillas | Pediatrics | 1400 N El Paso St, Bldg. E, El Paso, TX 79902-3437 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827222 | Planned Parenthood of Greater Texas - El Paso Family Planning | Clinic/Center | 1511 E. Missouri Ave, Ste B, El Paso, TX 79902 | 2018-10-19 |
| 1700364072 | Patricia Rosales | Counselor | 611 Newman Street, El Paso, TX 79902 | 2018-07-30 |
| 1275020117 | Maximo Arroyo | Acupuncturist | 1627 Montana Ave, El Paso, TX 79902 | 2018-04-17 |
| 1699288464 | Eva Gonzalez-lewis | Social Worker | 1225 E. Cliff Dr Bldg 3 Ste#100, El Paso, TX 79902 | 2017-11-14 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1609306992 | Vidanta Personal Assistance Services Inc | Nursing Care | 1801 E Yandell Dr, El Paso, TX 79902 | 2017-06-19 |
| 1083154967 | Lamp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr. #200, El Paso, TX 79902 | 2017-02-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| 1841672904 | Norma Avitia | Counselor | 1225 E Cliff Dr Bldg 3, El Paso, TX 79902 | 2015-06-25 |
| 1962826370 | Josefina Avalos | Social Worker | 1101 E. Schuster, El Paso, TX 79902 | 2014-02-06 |
| Find all providers in zip 79902 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255994174 | Priscilla Aguilar-hernandez | Nurse Practitioner | 10870 Gateway Blvd N Ste B, El Paso, TX 79924-1802 | 2019-04-16 |
| 1639659337 | Idali Barraza Cooper | Nurse Practitioner | 11331 James Watt Dr Ste 600, El Paso, TX 79936-6401 | 2018-08-21 |
| 1619477809 | Stephanie Lynn Baldwin | Nurse Practitioner | 5036 Gold Ranch Ave, El Paso, TX 79934-2859 | 2018-02-14 |
| 1073048922 | Deborah Sample | Nurse Practitioner | 701 Nita Fay Dr, El Paso, TX 79912-1401 | 2017-04-28 |
| 1144751223 | Heather Louise Saucedo | Nurse Practitioner | 11577 James Grant Dr, El Paso, TX 79936-5417 | 2017-03-21 |
| 1053854307 | Tanya Louise Alvarez | Nurse Practitioner | 4845 Alameda, El Paso Children's Hospital, El Paso, TX 79905 | 2016-11-18 |
| 1629437447 | Sandra Rebekah Flores | Nurse Practitioner | 2431 Pittsburg Ave, El Paso, TX 79930-1125 | 2016-02-22 |
| 1730547985 | Lourdes Guadalupe Alvarez | Nurse Practitioner | 1344 Backus St, El Paso, TX 79925-6605 | 2016-02-03 |
| 1396102778 | Vanessa Velez | Nurse Practitioner | 4845 Alameda Avenue, El Paso, TX 79905 | 2016-01-15 |
| 1609272962 | Klaudia S. Gutierrez | Nurse Practitioner | 11026 Vista Del Sol Dr, El Paso, TX 79935-4314 | 2014-11-14 |
| Find all providers in EL PASO | ||||
Please comment or provide details below to improve the information on MS. ELIZABETH HEREDIA BRAVO.
| 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.