Anna Elise Fenton
Nurse Practitioner
6210 S Broadway Ave
Tyler
, Texas 75703-4413
Anna Elise Fenton
Nurse Practitioner
6210 S Broadway Ave
Tyler
, Texas 75703-4413
(903) 579-2799
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Anna Elise Fenton
- 6210 S Broadway Ave
- Tyler, TX
- Zip : 75703-4413
- Fax : (903) 579-2799
- Phone : (903) 579-2700
Second Address
- Anna Elise Fenton
- 6210 S Broadway Ave
- Tyler, TX
- Zip : 75703-4413
- Fax : (903) 579-2799
- Phone : (903) 579-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1055530 | TX |
National Provider Identifier
| NPI | 1003588963 |
|---|---|
| Provider Name | Anna Elise Fenton |
| First Address | Tyler, TX 75703-4413 |
| Second Address | Tyler, TX 75703-4413 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2021 |
| Last Update Date | 29/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.