Tice, Mariaelena Eleanora

Tice, Mariaelena Eleanora is an individual health care provider with primary practice located at C Thomas Moore Health Clinic 56Th And 761St Battalion Ave Building 2245, Fort Hood TX 76544-4752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tice, Mariaelena Eleanora can be contacted via phone (254) 553-2750.

Contact Information

Primary practice address
C Thomas Moore Health Clinic 56Th And 761St Battalion Ave Building 2245 Fort Hood TX 76544-4752
Phone: (254) 553-2750
Fax: (254) 285-6193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 449918 Texas

Profile Details

NPI number 1265475081
LBN Legal business name Tice, Mariaelena Eleanora
Credentials RN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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