Provider Demographics
NPI:1528772894
Name:LIENDO, MARIA LETICIA (RN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:LETICIA
Last Name:LIENDO
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-1323
Mailing Address - Country:US
Mailing Address - Phone:956-949-0330
Mailing Address - Fax:
Practice Address - Street 1:2216 E ELM ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-1323
Practice Address - Country:US
Practice Address - Phone:956-949-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1074063363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily