Healthcare Provider Details

I. General information

NPI: 1619630969
Provider Name (Legal Business Name): IRIS ARANA ALONZO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2021
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8403 COLESVILLE RD
SILVER SPRING MD
20910-6331
US

IV. Provider business mailing address

8403 COLESVILLE RD
SILVER SPRING MD
20910-6331
US

V. Phone/Fax

Practice location:
  • Phone: 240-358-6642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberR228187
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR228187
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: