Individual
LIBERTY VICENTE MAXIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ACNPC-AG
Contact information
Practice address
3535 S INTERSTATE 35 E, DENTON, TX 76210-6850
(940) 384-3535
Mailing address
3535 S INTERSTATE 35 E, DENTON, TX 76210-6850
(940) 384-3535
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1130719
TX
Other
Enumeration date
03/06/2024
Last updated
07/22/2024
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