Provider Demographics
NPI:1558801308
Name:SOLANO, MINDY ESTELLA (FNP-C)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:ESTELLA
Last Name:SOLANO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N EL PASO ST STE D
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3438
Mailing Address - Country:US
Mailing Address - Phone:915-213-9710
Mailing Address - Fax:
Practice Address - Street 1:1400 N EL PASO ST STE D
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3438
Practice Address - Country:US
Practice Address - Phone:915-213-9710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-27
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03161363LP2300X
TXAP133457363LP2300X, 363LF0000X
TX725258363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily