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NPI Code Detail

MEDICARE: MS. ERLIZ JESSENIA MALDONADO NP-C

MEDICARE:  MS. ERLIZ JESSENIA MALDONADO  NP-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
1363LP2300XPrimary Care Nurse Practitioner1003563TX
2363LF0000XFamily Nurse Practitioner1003563TX
3363LF0000XFamily Nurse PractitionerF05200309TX

General Provider Information

NPI Number : 1730706953
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERLIZ JESSENIA MALDONADO NP-C
Provider Business Mailing Address
First Line : 5031 ANTHONY SPRINGS LN
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-4643
Country : US
Telephone Number : 713-291-5986
Fax Number :
Provider Business Practice Location Address
First Line : 2244 W HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-7703
Country : US
Telephone Number : 713-636-2621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2020
Last Update Date : 09/29/2021

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