Healthcare Provider Details

I. General information

NPI: 1336151174
Provider Name (Legal Business Name): MARIBEL ARGUINZONI MSN, AGPCNP-BC, WCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIBEL MARTINEZ

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 05/20/2021
Certification Date: 08/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2158 JUDICIAL DR
GERMANTOWN TN
38138-3823
US

IV. Provider business mailing address

2158 JUDICIAL DR
GERMANTOWN TN
38138-3823
US

V. Phone/Fax

Practice location:
  • Phone: 901-421-5174
  • Fax:
Mailing address:
  • Phone: 901-421-5174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number027857
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNPP37901
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number27902
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: