Provider Demographics
NPI:1891863734
Name:FLORES, LADONNA YVONNE (RN)
Entity type:Individual
Prefix:MRS
First Name:LADONNA
Middle Name:YVONNE
Last Name:FLORES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2733 PRESTWICK RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-5235
Mailing Address - Country:US
Mailing Address - Phone:915-595-2365
Mailing Address - Fax:
Practice Address - Street 1:2733 PRESTWICK RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-5235
Practice Address - Country:US
Practice Address - Phone:915-595-2365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726734163W00000X
TX191668164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered164W00000XNursing Service ProvidersLicensed Practical Nurse