Provider Demographics
NPI:1437903762
Name:MARIA MALDONADO NP CORP
Entity type:Organization
Organization Name:MARIA MALDONADO NP CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ARACELI
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:254-772-0783
Mailing Address - Street 1:1607 LAKE SUCCESS DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-2908
Mailing Address - Country:US
Mailing Address - Phone:254-772-0783
Mailing Address - Fax:254-772-1463
Practice Address - Street 1:1607 LAKE SUCCESS DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-2908
Practice Address - Country:US
Practice Address - Phone:254-772-0783
Practice Address - Fax:254-772-1463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty