Individual provider · NPI-1
Eileen Aguilar, NP-C
Nurse Practitioner, Family · Peoria, AZ
NPI number1427628353
StatusActive
Last updated in NPPESMay 25, 2023
Details
- NPI
- 1427628353
- Entity type
- Individual (NPI-1)
- Name
- Eileen Aguilar
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2021
- Certification date
- May 27, 2022
- Last updated
- May 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F05210060 | AZ | Yes |
Practice location
8908 W Maui LnPeoria, AZ 85381-3703
Phone 757-234-1825
Mailing address
15640 N 28th DrPhoenix, AZ 85053-4059
Phone 602-595-7841 · Fax 602-978-5233
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