Provider Demographics
NPI:1669914370
Name:IBRAHIMOVIC, ARNELA (APRN, CNP)
Entity type:Individual
Prefix:
First Name:ARNELA
Middle Name:
Last Name:IBRAHIMOVIC
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 JOHNS LN
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-4580
Mailing Address - Country:US
Mailing Address - Phone:214-929-5221
Mailing Address - Fax:
Practice Address - Street 1:8325 JACK FINNEY BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-3001
Practice Address - Country:US
Practice Address - Phone:903-450-1143
Practice Address - Fax:903-450-0485
Is Sole Proprietor?:No
Enumeration Date:2016-11-11
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily