Provider Demographics
NPI:1952917684
Name:ARRIAGA, ALEJANDRA PAOLA (ARNP)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:PAOLA
Last Name:ARRIAGA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 FOXTAIL DR APT F
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6108
Mailing Address - Country:US
Mailing Address - Phone:561-929-4563
Mailing Address - Fax:
Practice Address - Street 1:6295 LAKE WORTH RD STE 30
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3034
Practice Address - Country:US
Practice Address - Phone:561-660-7549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009249363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner