PETRONA FANTELLA ANDERSON (NPI# 1528577640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528577640 |
Entity Type | Individual |
Full Name | PETRONA FANTELLA ANDERSON |
Other Name | PETRONA FANTELLA ANDERSON-FORD |
Practice Address |
5005 North Piedras Street Wbamc El Paso TX 79920-5001 |
Mailing Address |
468 Brunswick Cir Stockbridge GA 30281-2461 |
Practice Telephone | 9155694890 |
Mailing Telephone | 7069514498 |
Enumeration Date | 2017-09-20 |
Last Update Date | 2017-09-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC009066 | GA | Behavioral Health & Social Service Providers |
Street Address |
5005 NORTH PIEDRAS STREET WBAMC |
City | EL PASO |
State | TX |
Zip Code | 79920-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336221134 | Jeffrey Edward Sherwood | Internal Medicine | 5005 North Piedras Street, El Paso, TX 79920-5002 | 2006-10-20 |
1649810888 | Benjamin Orrin Kelly | Occupational Therapist | 5005 North Piedras Street, El Paso, TX 79920 | 2020-01-15 |
1578036802 | Javier Eduardo Martinez | Military Health Care Provider | 5005 North Piedras Street, Wbamc, El Paso, TX 79920-5001 | 2019-01-09 |
1205211885 | Jessica Elizabeth Stone | Registered Nurse | 5005 North Piedras Street, William Beaumont Army Medical Center, El Paso, TX 79920 | 2015-07-24 |
1669735965 | Cyrus C Bowers | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Street, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2012-06-21 |
1114280468 | Elizabeth A Miller | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Street, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2012-06-21 |
1023371333 | Jabon L Ellis | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Street, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2012-06-21 |
1285922153 | Angela M Minton | Counselor | 5005 North Piedras Street, El Paso, TX 79920 | 2011-07-13 |
1063728277 | Marie Lulette Pinto Fermil | Optometrist | 5005 North Piedras Street, El Paso, TX 79920 | 2010-08-25 |
1326195108 | Warren Le Eric Alexander | Internal Medicine | 5005 North Piedras Street, El Paso, TX 79920 | 2007-01-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
Find all providers in zip 79920 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
1063029320 | Elizabeth Sanchez Chagoyan | Counselor | 1201 Airway Blvd Ste C1, El Paso, TX 79925-3647 | 2020-09-30 |
1225644800 | Sandra Yvoone Mercado | Counselor | 3477 Angel Face Dr, El Paso, TX 79936-8213 | 2020-09-19 |
1346850062 | Amanda Geilenfeldt | Counselor | 1613 Larry Wadkins Dr, El Paso, TX 79936-5218 | 2020-08-06 |
1467061010 | Corina Doris Franck | Counselor | 13985 Sandy Rock Dr, El Paso, TX 79938-2607 | 2020-07-29 |
1669095154 | Veronica Aparicio | Counselor | 1605 George Dieter Dr Ste 636, El Paso, TX 79936-5692 | 2020-05-19 |
1841829199 | Traci Celeste Presley | Counselor | 444 E Robinson Ave Ste A, El Paso, TX 79902-2602 | 2020-04-07 |
1447888060 | Kerri Hubacker | Counselor | 5255 Woodrow Bean Ste B18, El Paso, TX 79924-3832 | 2020-03-30 |
1295362168 | Play To Heal Counseling Center | Counselor | 6048 Hidden Acres Dr, El Paso, TX 79924-2244 | 2020-03-23 |
1689220634 | Chad Condon Moltane | Counselor | 5048 Love Road, El Paso, TX 79922 | 2019-08-15 |
Find all providers in EL PASO |
Please comment or provide details below to improve the information on PETRONA FANTELLA ANDERSON.
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.