Provider Demographics
NPI:1730489600
Name:NEGRON, AUREA LUISA (LVN)
Entity type:Individual
Prefix:
First Name:AUREA
Middle Name:LUISA
Last Name:NEGRON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:AUREA
Other - Middle Name:LUISA
Other - Last Name:NEGRON PAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14200 SARAH ANN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78725-4006
Mailing Address - Country:US
Mailing Address - Phone:512-803-0200
Mailing Address - Fax:
Practice Address - Street 1:14200 SARAH ANN DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78725-4006
Practice Address - Country:US
Practice Address - Phone:512-803-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX226178164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse