Provider Demographics
NPI:1295334902
Name:LIENS AGUILAR, YALENNYS (APRN-CNP)
Entity type:Individual
Prefix:
First Name:YALENNYS
Middle Name:
Last Name:LIENS AGUILAR
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6711 RAMPART ST STE 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4265
Mailing Address - Country:US
Mailing Address - Phone:713-660-9026
Mailing Address - Fax:713-660-9027
Practice Address - Street 1:6711 RAMPART ST STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4265
Practice Address - Country:US
Practice Address - Phone:713-660-9026
Practice Address - Fax:713-660-9027
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1016614163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX36475Medicaid