Woodell Fogle, Dena Ann
Woodell Fogle, Dena Ann is an individual health care provider with primary practice located at 3800 S W S Young Dr Ste 201 , Killeen TX 76542. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Woodell Fogle, Dena Ann can be contacted via phone (254) 245-9175.Contact Information
Primary practice address
3800 S W S Young Dr Ste 201
Killeen TX 76542
Phone: (254) 245-9175
Fax: (254) 213-7771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 657431 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 657431 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 657431 | Texas |
Profile Details
| NPI number | 1346359924 |
|---|---|
| LBN Legal business name | Woodell Fogle, Dena Ann |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jan 25th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346359924 | NPPES |
| Texas | MEDICAID | 173922901 | |
| Texas | MEDICAID | 173922903 | |
| Texas | MEDICAID | 173922904 | |
| Texas | MEDICAID | 173922909 |
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