Provider Demographics
NPI:1437715455
Name:SAGRERA-MULEN, ACIEL (DNP, FNP-C, APRN)
Entity type:Individual
Prefix:DR
First Name:ACIEL
Middle Name:
Last Name:SAGRERA-MULEN
Suffix:
Gender:M
Credentials:DNP, FNP-C, APRN
Other - Prefix:DR
Other - First Name:ACIEL
Other - Middle Name:
Other - Last Name:SAGRERA-MULEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP,FNP-C,PMHNP,APRN
Mailing Address - Street 1:20611 FM 529 RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20611 FM 529 RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:786-890-9931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11021018363LF0000X, 363LF0000X
TX1045774363LF0000X, 363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care