Provider Demographics
NPI:1891583845
Name:LEGARDA, AILEEN HANIA (NP)
Entity type:Individual
Prefix:
First Name:AILEEN
Middle Name:HANIA
Last Name:LEGARDA
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7709 BESTRIDE BND
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-1500
Mailing Address - Country:US
Mailing Address - Phone:915-328-5125
Mailing Address - Fax:
Practice Address - Street 1:1900 ALDRICH ST STE 120
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3595
Practice Address - Country:US
Practice Address - Phone:512-900-1051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1196116363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily