Doctor Name: | MR. ALFREDO ARELLANO |
NPI Number: | 1851558266 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, APN |
License Number: | 537027 |
Business Practice Address: | 5060 Mcnutt Rd Santa Teresa, NM - 880089475 |
Business Phone Number: | 5755893000 |
Business Fax Number: | |
Mailing Address: | 6313 Franklin Trl, EL PASO |
State: | TX |
Postal Code: | 799128154 |
Phone Number: | 9154972436 |
Fax Number: | 9155446114 |
NPI Enumeration Date: | 05/22/2008 |
NPI Last Update Date: | 09/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | 537027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |