Provider Demographics
NPI:1295793156
Name:AARON, AMY THERESA (NNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:THERESA
Last Name:AARON
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:THERESA
Other - Last Name:MORIO-AARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NNP
Mailing Address - Street 1:CMR 402 BOX 2505
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-0026
Mailing Address - Country:US
Mailing Address - Phone:817-448-8709
Mailing Address - Fax:
Practice Address - Street 1:UNIT 33100
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180-3100
Practice Address - Country:US
Practice Address - Phone:314-590-5921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04958363LN0000X
TX505087363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal