MEDICARE: ADRIANA ISAZA APRN, AGNP-C

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	363LG0600X	Gerontology Nurse Practitioner	AP125058	TX
2	363LA2200X	Adult Health Nurse Practitioner	695985	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467876664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA ISAZA APRN, AGNP-C

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	427 W 20TH ST STE 400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2430
Country	:	US
Telephone Number	:	713-868-4433
Fax Number	:	713-868-4747

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

Provider Enumeration Date	:	02/07/2014
Last Update Date	:	12/18/2025

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