MEDICARE: MARIBEL ARREDONDO 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	363LF0000X	Family Nurse Practitioner	1218753	TX

General Provider Information

NPI Number	:	1740144856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIBEL ARREDONDO APRN-CNP

Provider Business Mailing Address
First Line	:	14950 DINO RD
Second Line	:
City	:	CLINT
State	:	TX
Zip	:	79836-5713
Country	:	US
Telephone Number	:	915-241-6152
Fax Number	:

Provider Business Practice Location Address
First Line	:	1671 N ZARAGOZA RD STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-8058
Country	:	US
Telephone Number	:	915-996-5210
Fax Number	:

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

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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