Provider Demographics
NPI:1598470601
Name:GIRALDO, ALICIA (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:GIRALDO
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:URIBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:3096 SHERRY DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2076
Mailing Address - Country:US
Mailing Address - Phone:225-281-1311
Mailing Address - Fax:
Practice Address - Street 1:3801 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3825
Practice Address - Country:US
Practice Address - Phone:225-505-2933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA226644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily