Provider Demographics
NPI:1205373610
Name:ARANCIBIA, SERENA (MPH, PA-C)
Entity Type:Individual
Prefix:MS
First Name:SERENA
Middle Name:
Last Name:ARANCIBIA
Suffix:
Gender:F
Credentials:MPH, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LE CLAIRE
Mailing Address - State:IA
Mailing Address - Zip Code:52753-9684
Mailing Address - Country:US
Mailing Address - Phone:956-212-9564
Mailing Address - Fax:
Practice Address - Street 1:2400 LILLIAN WAY
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-2001
Practice Address - Country:US
Practice Address - Phone:563-243-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant