Individual
ALICIA IVANA BAENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
13656 BRETON RIDGE ST # AH, HOUSTON, TX 77070-6081
(281) 429-8780
(281) 763-7930
Mailing address
850 W RIO SALADO PKWY STE 201, TEMPE, AZ 85281-3812
(602) 926-0849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139889
TX
Other
Enumeration date
04/15/2019
Last updated
11/23/2022
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