Provider Demographics
NPI:1043058506
Name:BAYLOR BOCANEGRA, NORMA LORRAINE (LVN)
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:LORRAINE
Last Name:BAYLOR BOCANEGRA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HIBISCUS AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1800
Mailing Address - Country:US
Mailing Address - Phone:956-802-2925
Mailing Address - Fax:956-291-9897
Practice Address - Street 1:901 E HACKBERRY AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6502
Practice Address - Country:US
Practice Address - Phone:956-661-7100
Practice Address - Fax:956-291-9897
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX214257251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care