Andrea Kathleen Fenn, R.N.
Individual provider Active NPI Medical-Surgical Registered Nurse · Sweeny, TX
NPI 1750690699 · NPPES record last updated Sep 27, 2010
Key facts
- NPI
- 1750690699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 560968 (TX)
- Practice address
- 1004 County Road 452
Sweeny, TX 77480-4076 - Phone
- (979) 345-3313
- Fax
- (979) 345-3313
- NPI assigned
- Sep 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 560968 | TX | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 560968 | TX | Yes |
Addresses
Primary practice location
1004 County Road 452
Sweeny, TX 77480-4076
Mailing address
1004 County Road 452
Sweeny, TX 77480-4076
Phone (979) 345-3313
Other providers in Sweeny, TX
- Beth Daniel-Query
- David T. Barr, MD PA
- Derek C Funk DDS PC
- Richard Carlton Erickson
- Ethan Eddie Chambliss
- George W Deleon MD PA
- Wilma Jeannette Hardesty
- C Jones
- K & S Mobile Labs
- Amy Lynn Keffer
All providers in Sweeny, TX · Medical-Surgical Registered Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.