ANNESSA FAYE VAN DE WALLE FNP NPI 1376800235

NPI Information

NPI: 1376800235
Provider Name: ANNESSA FAYE VAN DE WALLE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
291 HARRIS DR
AUSTIN, TX
ZIP 78737
Phone: (817) 366-7542
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Annessa Faye Van De Walle, FNP is a family nurse practitioner in Austin, TX. Annessa Faye Van De Walle, FNP NPI is 1376800235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

291 HARRIS DR
AUSTIN, TX
ZIP 78737-606
Phone: (817) 366-7542

The enumeration date for this NPI number is 4/17/2012 and was last updated on 4/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	618160	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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