Basic Information
| Provider Information | |||||||||
| NPI: | 1659658839 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BELTRAN | ||||||||
| FirstName: | ERIKA | ||||||||
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| Credential: | RN, CPNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 N EL PASO ST STE E | ||||||||
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| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799023438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155770444 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1512 N ZARAGOZA RD | ||||||||
| Address2: | SUITE A-1 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799368902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9158557700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/15/2011 | ||||||||
| LastUpdateDate: | 04/16/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | 707567 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.