Provider Demographics
NPI:1285984997
Name:ROBLES, ELSA ISABELLA (RN, MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ELSA
Middle Name:ISABELLA
Last Name:ROBLES
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:ELSA
Other - Middle Name:ISABELLA
Other - Last Name:ROBLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN MSN FNP-C
Mailing Address - Street 1:8000 DOMINION PKWY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0100
Mailing Address - Country:US
Mailing Address - Phone:972-403-6000
Mailing Address - Fax:972-403-6010
Practice Address - Street 1:7933 PRESTON RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2302
Practice Address - Country:US
Practice Address - Phone:972-403-6000
Practice Address - Fax:972-403-6010
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX688483163WS0121X, 363LF0000X
TXAP122604363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1285984997OtherFAMILY
TX13405892OtherTEXAS DRIVERS LICENSE