Provider Demographics
NPI:1184090821
Name:NIELSEN, MARIJA ZIRAMOV (FNP)
Entity type:Individual
Prefix:MRS
First Name:MARIJA
Middle Name:ZIRAMOV
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12231 PAINTED DAISY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5715
Mailing Address - Country:US
Mailing Address - Phone:210-259-5527
Mailing Address - Fax:
Practice Address - Street 1:14100 SAN PEDRO AVE
Practice Address - Street 2:#412
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4361
Practice Address - Country:US
Practice Address - Phone:210-281-8669
Practice Address - Fax:210-314-5044
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129546363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily