1669298923 NPI number — CECELIA IVONE KEY RN

Table of content: CECELIA IVONE KEY RN (NPI 1669298923)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669298923 NPI number — CECELIA IVONE KEY RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KEY
Provider First Name:
CECELIA
Provider Middle Name:
IVONE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RAMOZ
Provider Other First Name:
CECELIA
Provider Other Middle Name:
IVONE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1669298923
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18511 HIGHLANDER MEDICS STREET
Provider Second Line Business Mailing Address:
INFECTION CONTROL DEPARTMENT
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79918-7993
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-742-9696
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14537 SUNNY LAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79938-5476
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-255-9174
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/02/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  857002 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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