MS. VANESSA LYNN BLUDAU


Address: 1411 N Beckley Ave, Pav IIi Ste#152, Dallas, TX 75203-1259
Phone: 2149482076

MS. VANESSA LYNN BLUDAU (NPI# 1063763670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063763670
Entity Type Individual
Full Name MS. VANESSA LYNN BLUDAU
Credential RN, FNP-C
Practice Address 1411 N Beckley Ave
Pav IIi Ste#152
Dallas
TX 75203-1259
Practice Telephone 2149482076
Practice Fax Number 2149489990
Mailing Telephone 2149482076
Mailing Fax Number 2149489990
Enumeration Date 2012-09-21
Last Update Date 2013-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
720581 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS 893N77 01
TX 315549101 05

Office Location

Street Address 1411 N BECKLEY AVE
PAV III STE#152
City DALLAS
State TX
Zip Code 75203-1259

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760481246 Sarah Lynn Helfand Pediatrics 1411 N Beckley Ave, Suite 164, Dallas, TX 75203-1259 2005-07-18
1003321936 Kathleen Ubina Pharmacist 1411 N Beckley Ave, Dallas, TX 75203-1259 2017-12-14
1245743624 Whitney Lee Mcclung Nurse Practitioner 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203 2017-11-08
1780116129 Kylie Rhea Rutherford Physician Assistant 1411 N Beckley Ave, Pavillion IIi, Suite 152, Dallas, TX 75203-1259 2017-04-03
1437695863 Lisa Montgomery Nurse Practitioner 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 2017-01-09
1477916922 Jillian Robinson Physician Assistant 1411 N Beckley Ave, Suite 363, Dallas, TX 75203-1259 2016-04-01
1720445638 Head & Neck Surgery of North Texas Pllc Oral & Maxillofacial Surgery 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 2016-01-22
1316322423 Kelley Lynn Hanna Nurse Practitioner 1411 N Beckley Ave, Pavillion 3 Ste 152, Dallas, TX 75203-1259 2015-07-30
1063896520 Pinnacle Anesthesia Consultants, Pllc Anesthesiology 1411 N Beckley Ave, Pav. IIi, Suite 152, Dallas, TX 75203-1259 2015-07-15
1306228291 Sarah Breanne Smith Nurse Practitioner 1411 N Beckley Ave, Pav IIi Ste#152, Dallas, TX 75203 2015-06-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386264125 Dylan Lopez Internal Medicine Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 2020-04-22
1902303183 Sarah Mcferon Nurse Practitioner 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 2018-04-12
1659727030 Kathy Lightsey Counselor 1836 Berwick Ave, Dall, TX 75203 2016-05-04
1659712453 Maura M Mcglynn Occupational Therapist 1520 North Beckley Ave 1033, Dallas, TX 75203 2013-07-10
1093153454 Adrienne Workman Internal Medicine 1441 North Beckley Avenue, Dallas, TX 75203 2013-06-07
1851642490 April Rebecca Meras Nurse Practitioner 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 2012-09-22
1699081612 East Run Management, Ltd. Company Alzheimer Center (Dementia Center) 2653 Cedar Crest Blvd, Dallas, TX 75203 2010-08-27
1538471305 Preetivi Ellis Internal Medicine 1441 N Beckley Ave Fl 4, Dallas, TX 75203 2010-07-09
1306085378 Maggie Fardella Counselor 201 E 9th St, Dallas, TX 75203 2009-02-13
1811159122 Maryam Raza Md Pa Internal Medicine 1441 N. Beckley, Dallas, TX 75203 2008-06-27
Find all providers in zip 75203

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235730409 Cheryl Lynn Williams Nurse Practitioner 282 Somerset Dr, Dallas, GA 30132-9761 2020-11-04
1699376723 David James Wainwright Nurse Practitioner 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 2020-11-04
1528668860 Nicole Chadwick Nurse Practitioner 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 2020-10-27
1952901415 Melissa Green Nurse Practitioner 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 2020-10-26
1194324640 Busola Stella Amurawaiye Nurse Practitioner 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 2020-10-25
1164020350 Christina Wilder Nurse Practitioner 821 Allen Street Apt 424, Dallas, TX 75204 2020-10-11
1689288276 Chinyere Ezeh Nurse Practitioner 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 2020-09-01
1992317341 Modern Enhancement Nurse Practitioner 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 2020-08-18
1679183172 Stacie Teresa Mccally Nurse Practitioner 4055 Valley View Lane, Dallas, TX 75022 2020-08-09
1528678083 Esther Siriba Nurse Practitioner 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 2020-08-08
Find all providers in DALLAS

Competitor

Search similar providers

City DALLAS
Zip Code 75203

Improve Information

Please comment or provide details below to improve the information on MS. VANESSA LYNN BLUDAU.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches