Provider Demographics
NPI:1265965362
Name:SAENZ, MIA NICOLE (DNP, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MIA
Middle Name:NICOLE
Last Name:SAENZ
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 LOS MOROS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-1831
Mailing Address - Country:US
Mailing Address - Phone:575-202-2820
Mailing Address - Fax:
Practice Address - Street 1:2435 S TELSHOR BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-5029
Practice Address - Country:US
Practice Address - Phone:755-227-7985
Practice Address - Fax:575-522-3416
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-03200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily