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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346359924 NPPES
Texas MEDICAID 173922901
Texas MEDICAID 173922903
Texas MEDICAID 173922904
Texas MEDICAID 173922909

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