ROBERTA ANN DURK CPNP-PC NPI 1780829259

NPI Information

NPI: 1780829259
Provider Name: ROBERTA ANN DURK, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4500 N MESA ST
EL PASO, TX
ZIP 79912
Phone: (915) 532-9000
Get Directions

Roberta Ann Durk, CPNP-PC is a pediatrics nurse practitioner in El Paso, TX. Roberta Ann Durk, CPNP-PC NPI is 1780829259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 N MESA ST
EL PASO, TX
ZIP 79912
Phone: (915) 532-9000
Fax: (915) 532-9006

The enumeration date for this NPI number is 12/11/2008 and was last updated on 6/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	08620	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	601596	TEXAS	No
3	363LP0200X	Nurse Practitioner	Pediatrics	601596	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201549708	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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