Provider Demographics
NPI:1275848327
Name:MALDONADO, MARIA ARACELI (RN, MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ARACELI
Last Name:MALDONADO
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ARACELI
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:514 S BONHAM ST STE G
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-3664
Mailing Address - Country:US
Mailing Address - Phone:254-562-9321
Mailing Address - Fax:254-562-3570
Practice Address - Street 1:1800 GURLEY LANE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76706
Practice Address - Country:US
Practice Address - Phone:254-313-6000
Practice Address - Fax:254-313-4531
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692944363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily