Portugal, Elizabeth Ann

Portugal, Elizabeth Ann is an individual health care provider with primary practice located at 9870 Gateway N Blvd B1 , El Paso TX 79924-4414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Portugal, Elizabeth Ann can be contacted via phone (915) 751-5571.

Contact Information

Primary practice address
9870 Gateway N Blvd B1 El Paso TX 79924-4414
Phone: (915) 751-5571
Fax: (915) 751-0951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 563927 Texas

Profile Details

NPI number 1699879981
LBN Legal business name Portugal, Elizabeth Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jan 29th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699879981 NPPES
Texas MEDICAID 176130601
Texas Other 8N8628

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