Provider Demographics
NPI:1144593138
Name:MILLS-REYES, ELIZABETH (MD, FNP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:MILLS-REYES
Suffix:
Gender:F
Credentials:MD, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 E 6TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6608
Mailing Address - Country:US
Mailing Address - Phone:956-296-7722
Mailing Address - Fax:
Practice Address - Street 1:1330 E 6TH ST STE 105
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6608
Practice Address - Country:US
Practice Address - Phone:956-296-7722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201800203NP-PP363LF0000X
GARN229054363LF0000X
TN16893363LF0000X
ARA003791363LF0000X
AL1-116555363LF0000X
390200000X
TX1031809363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program