Provider Demographics
NPI:1679824999
Name:PACE, ALBINA FARITOVNA (ARNP)
Entity Type:Individual
Prefix:
First Name:ALBINA
Middle Name:FARITOVNA
Last Name:PACE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ALBINA
Other - Middle Name:FARITOVNA
Other - Last Name:MURATOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:17450 ST LUKES WAY STE 250
Mailing Address - Street 2:SUITE 250
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-8045
Mailing Address - Country:US
Mailing Address - Phone:936-230-5006
Mailing Address - Fax:281-817-5948
Practice Address - Street 1:17450 ST LUKES WAY STE 250
Practice Address - Street 2:SUITE 250
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-8045
Practice Address - Country:US
Practice Address - Phone:936-230-5006
Practice Address - Fax:281-817-5948
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60297970363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily