MEDICARE: BELINDA ARIANA ATIENZO APRN-CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1113113	TX

General Provider Information

NPI Number	:	1407550833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA ARIANA ATIENZO APRN-CNP

Provider Business Mailing Address
First Line	:	4321 N MESA ST STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1141
Country	:	US
Telephone Number	:	915-875-1030
Fax Number	:

Provider Business Practice Location Address
First Line	:	4321 N MESA ST STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1141
Country	:	US
Telephone Number	:	915-875-1030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	03/29/2023

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