Provider Demographics
NPI:1447550116
Name:GUARDADO, VERONICA MARIA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:MARIA
Last Name:GUARDADO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:MARIA
Other - Last Name:CHAVIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5001 N PIEDRAS ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-4210
Mailing Address - Country:US
Mailing Address - Phone:915-564-6100
Mailing Address - Fax:915-564-6145
Practice Address - Street 1:5001 N PIEDRAS ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79930-4210
Practice Address - Country:US
Practice Address - Phone:915-564-6100
Practice Address - Fax:915-564-6145
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119778363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily