person
Ida Centineo, RN
Family Nurse Practitioner in Shenandoah, Texas
NPI 1609410653

Ida Centineo is a Family Nurse Practitioner based in Shenandoah, TX and is specialized in Family. Ida Centineo practices in Shenandoah, TX and has the professional credentials of RN. The NPI Number for Ida Centineo is 1609410653 and holds a License No. 26NJ01038600 (Texas).

The current practice location address for Ida Centineo is 920 Medical Plaza Dr Ste 520, Shenandoah, TX and can be reached out via phone at 832-562-3974 and via fax at 832-663-9378.

Location: 920 Medical Plaza Dr Ste 520, Shenandoah, TX, 77380-3204
person
Provider Profile Details
NPI Number
1609410653
Provider Name
Ida Centineo
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
920 Medical Plaza Dr Ste 520, Shenandoah, TX, 77380-3204
Phone Number
832-562-3974
Fax Number
832-663-9378
Provider Enumeration Date
11/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 Medical Plaza Dr Ste 520
City
State
Zip
77380-3204
Phone Number
832-562-3974
Fax Number
832-663-9378
person
Provider Business Mailing Address Details
Address
920 Medical Plaza Dr Ste 520
City
State
Zip
77380-3204
Phone Number
832-562-3974
Fax Number
832-663-9378
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
26NJ01038600 (New Jersey)
Definition
Definition to come...
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