Provider Demographics
NPI:1437970126
Name:CABALLERO, MARLEN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:MARLEN
Middle Name:
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 DREW LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2841
Mailing Address - Country:US
Mailing Address - Phone:214-402-2576
Mailing Address - Fax:817-533-6015
Practice Address - Street 1:559 E OVILLA RD
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-3505
Practice Address - Country:US
Practice Address - Phone:214-286-6565
Practice Address - Fax:817-533-6015
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178704363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care