Provider Demographics
NPI:1144654682
Name:SOLIS, SUSAN T (RN)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:T
Last Name:SOLIS
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 1:9326 AQUARIUS LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-6641
Mailing Address - Country:US
Mailing Address - Phone:191-582-0316
Mailing Address - Fax:
Practice Address - Street 1:9326 AQUARIUS LN
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-6641
Practice Address - Country:US
Practice Address - Phone:191-582-0316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-01
Last Update Date:2013-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX837234163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management