Basic Information
Provider Information
NPI: 1730583782
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HENNES
FirstName: FRANCISCA
MiddleName: CHINYERE
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5903 SAGE HOLLOW CT
Address2:  
City: SUGAR LAND
State: TX
PostalCode: 774798978
CountryCode: US
TelephoneNumber: 8326603846
FaxNumber:  
Practice Location
Address1: 9900 BREN RD E
Address2:  
City: MINNETONKA
State: MN
PostalCode: 553439664
CountryCode: US
TelephoneNumber: 8552478474
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/20/2014
LastUpdateDate: 08/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP126441TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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