Nino, Isaacc Guillermo

Nino, Isaacc Guillermo is an sole proprietor health care provider with primary practice located at 3804 S. Jackson Rd., Ste. #1 , Edinburg TX 78539-6101. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Nino, Isaacc Guillermo can be contacted via phone (956) 296-3001.

Contact Information

Primary practice address
3804 S. Jackson Rd., Ste. #1 Edinburg TX 78539-6101
Phone: (956) 296-3001
Fax: (956) 396-3000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 736520 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP138261 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP138261 Texas

Profile Details

NPI number 1740767177
LBN Legal business name Nino, Isaacc Guillermo
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2018
Last updated Dec 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740767177 NPPES
Texas MEDICAID 403739202
Texas Other H08LW21601

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