Mariaelena Eleanora Tice, RN, CPNP Valid NPI

Individual provider · Nurse Practitioner · Fort Hood, TX

NPI

1265475081

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

449918 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2006-06-13

Last updated

2007-07-08