Provider Demographics
NPI:1063866317
Name:AGUILERA, PATRICIA ALEJANDRA (ARNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ALEJANDRA
Last Name:AGUILERA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 AARON DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-3956
Mailing Address - Country:US
Mailing Address - Phone:956-279-1827
Mailing Address - Fax:
Practice Address - Street 1:2034 AARON DR UNIT A
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-3956
Practice Address - Country:US
Practice Address - Phone:956-279-1827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61513308363LF0000X
TX897295163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse