Provider Demographics
NPI:1730742388
Name:FRIAS, MYRIAM YVONNE (MSN, APRN, FNP)
Entity type:Individual
Prefix:
First Name:MYRIAM
Middle Name:YVONNE
Last Name:FRIAS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP
Other - Prefix:
Other - First Name:MYRIAM
Other - Middle Name:YVONNE
Other - Last Name:SERNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 W HAGUE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5808
Mailing Address - Country:US
Mailing Address - Phone:915-356-3939
Mailing Address - Fax:915-532-3850
Practice Address - Street 1:125 W HAGUE RD STE 500
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5808
Practice Address - Country:US
Practice Address - Phone:915-356-3939
Practice Address - Fax:915-532-3850
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-18
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141219363LF0000X
NM56419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily