BIANCA ADRIANNA AGNELLO (NPI# 1275148793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275148793 |
Entity Type | Individual |
Full Name | BIANCA ADRIANNA AGNELLO |
Credential | FNP-C |
Practice Address |
8465 Boat Club Rd Ste 115 Fort Worth TX 76179-3676 |
Mailing Address |
4112 Donnelly Ave Fort Worth TX 76107-5502 |
Practice Telephone | 8172600535 |
Mailing Telephone | 5127995366 |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1002992 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8465 BOAT CLUB RD STE 115 |
City | FORT WORTH |
State | TX |
Zip Code | 76179-3676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992347215 | Katherine M Wright | Behavior Technician | 5804 Boat Club Road, Fort Worth, TX 76179 | 2019-10-09 |
1982245775 | Makaylin Rene Mayes | Behavior Technician | 5804 Boat Club Rd, Fort Worth, TX 76179 | 2019-10-02 |
1881246049 | Renkuntla Pllc | Dentist | 240 S Saginaw Blvd, Saginaw, TX 76179 | 2019-07-09 |
1376062026 | Michele Ann Taylor | Massage Therapist | 6352 Stone Lake Drive, Fort Worth, TX 76179 | 2017-09-13 |
1649796921 | Amanda Williams | Music Therapist | 6212 Rocky Point Trail, Lake Worth, TX 76179 | 2017-08-17 |
1912437922 | Dentists of Eagle Mountain, PC | Dentist | 4624 West Bailey Boswell Road, Suite 200, Fort Worth, TX 76179 | 2017-06-13 |
1982059283 | 11th Hour Counseling | Social Worker | 949 Sherry Ln, Saginaw, TX 76179 | 2016-04-25 |
1114307212 | Stephanie Lee Beavers | Chiropractor | 524 Buckstone Dr., Saginaw, TX 76179 | 2015-06-03 |
1760885297 | Kali Nagabalaji | Pharmacy | 200 W J Boaz Rd, Ste 100, Saginaw, TX 76179 | 2014-09-29 |
1750794541 | Julie Norwood | Dentist | 1453 N. Saginaw Blvd., Suite 150, Saginaw, TX 76179 | 2014-06-09 |
Find all providers in zip 76179 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417556341 | Sarah R Tabor | Nurse Practitioner | 4819 El Campo Ave, Fort Worth, TX 76107-4917 | 2020-10-21 |
1336747963 | Thomas Liles | Nurse Practitioner | 4 Carlson Ct, Fort Worth, TX 76119-5901 | 2020-10-15 |
1518565597 | Khyatiben Harsh Parikh | Nurse Practitioner | 8121 Belgian Blue Ct, Fort Worth, TX 76131-1734 | 2020-10-13 |
1225645906 | Manju Karki K C | Nurse Practitioner | 4812 Meadow Falls Dr # A, Fort Worth, TX 76244-2308 | 2020-09-28 |
1497361778 | Mulikat Dossou | Nurse Practitioner | 8024 Valley Crest Dr, Fort Worth, TX 76120-5651 | 2020-09-22 |
1356955363 | Alba C. Rivas | Nurse Practitioner | 6958 Legato Ln, Fort Worth, TX 76134-3727 | 2020-09-07 |
1043824139 | Traci D Huff | Nurse Practitioner | 7121 Sundance Ln, Fort Worth, TX 76179-2533 | 2020-09-04 |
1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
1619589108 | Megan King | Nurse Practitioner | 9734 N Beach St Ste 100, Fort Worth, TX 76244-6185 | 2020-08-18 |
1265069454 | Sarah Lynn Winter | Nurse Practitioner | 3816 Birchman Ave, Fort Worth, TX 76107-4508 | 2020-03-26 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76179 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.