MEDICARE: KENIA ROMAN ARIAS 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	163W00000X	Registered Nurse	1026436	TX
2	363LF0000X	Family Nurse Practitioner	1026436	TX

General Provider Information

NPI Number	:	1124610712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENIA ROMAN ARIAS APRN-CNP

Provider Business Mailing Address
First Line	:	18350 TIMBER FOREST DR # 200
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-2957
Country	:	US
Telephone Number	:	281-968-5653
Fax Number	:	281-968-8416

Provider Business Practice Location Address
First Line	:	18350 TIMBER FOREST DR # 200
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-2957
Country	:	US
Telephone Number	:	832-656-8769
Fax Number	:

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

Provider Enumeration Date	:	02/05/2021
Last Update Date	:	07/03/2025

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