Provider Demographics
NPI:1154985729
Name:JAUREGUI AGUILERA, ARACELI (FNP)
Entity type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:JAUREGUI AGUILERA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 W 31ST ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-4029
Mailing Address - Country:US
Mailing Address - Phone:402-659-4548
Mailing Address - Fax:
Practice Address - Street 1:304 N LOCKE AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-5855
Practice Address - Country:US
Practice Address - Phone:505-324-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM53187363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily