Provider Demographics
NPI:1275262479
Name:ARJONA, ENRIQUETA (NP)
Entity Type:Individual
Prefix:
First Name:ENRIQUETA
Middle Name:
Last Name:ARJONA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20523 ANDORRA HILLS LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2112
Mailing Address - Country:US
Mailing Address - Phone:346-221-6411
Mailing Address - Fax:
Practice Address - Street 1:1900 BLALOCK RD STE M
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-5446
Practice Address - Country:US
Practice Address - Phone:832-831-4883
Practice Address - Fax:346-319-2815
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPRN-CNP1082840363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily