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NPI Code Detail

MEDICARE: MRS. MIA NICOLE SAENZ DNP, FNP-BC

MEDICARE: MRS. MIA NICOLE SAENZ DNP, FNP-BC
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
1363LF0000XFamily Nurse PractitionerCNP-03200NM

General Provider Information

NPI Number : 1265965362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MIA NICOLE SAENZ DNP, FNP-BC
Provider Business Mailing Address
First Line : 1008 LOS MOROS DR
Second Line :
City : EL PASO
State : TX
Zip : 79932-1831
Country : US
Telephone Number : 575-202-2820
Fax Number :
Provider Business Practice Location Address
First Line : 2435 S TELSHOR BLVD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-5029
Country : US
Telephone Number : 755-227-7985
Fax Number : 575-522-3416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2017
Last Update Date : 09/15/2023

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