Individual provider · Type 1 NPI
Alexander Penaranda Balongoy, NP
Psychiatric/Mental Health Nurse Practitioner · Canyon Lake, TX
NPI number
1073144358
Active
Practice location
230 Shepherd Hl
Canyon Lake, TX 78133-5606
Mailing address
819 Water St Ste 300
Kerrville, TX 78028-5330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP144436 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1073144358
Alexander Penaranda Balongoy, NP's National Provider Identifier is 1073144358, issued on Jan 27, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Canyon Lake, TX. The record was last updated on Jan 27, 2020.