Provider Demographics
NPI:1700166436
Name:DELEON, ELSIE YANEZ (RN, NP-C)
Entity type:Individual
Prefix:MS
First Name:ELSIE
Middle Name:YANEZ
Last Name:DELEON
Suffix:
Gender:F
Credentials:RN, NP-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:919 HIDDEN RDG
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3813
Mailing Address - Country:US
Mailing Address - Phone:469-282-2711
Mailing Address - Fax:469-282-0996
Practice Address - Street 1:14202 S PADRE ISLAND DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6030
Practice Address - Country:US
Practice Address - Phone:361-902-6170
Practice Address - Fax:361-902-6191
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX433316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP02601761OtherMCRR
TX342065501Medicaid
TX1L5266OtherMEDICARE
TX342065502Medicaid