Bardwell, Priscilla Ann
Bardwell, Priscilla Ann is an sole proprietor health care provider with primary practice located at 4510 Medical Center Dr Ste 211 , Mckinney TX 75069-1602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bardwell, Priscilla Ann can be contacted via phone (469) 541-1600.Contact Information
Primary practice address
4510 Medical Center Dr Ste 211
Mckinney TX 75069-1602
Phone: (469) 541-1600
Fax: (469) 541-1612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 551488 | Texas |
Profile Details
| NPI number | 1376520635 |
|---|---|
| LBN Legal business name | Bardwell, Priscilla Ann |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Sep 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376520635 | NPPES |
| Texas | Other | 89869U | BCBS |
| Texas | Other | 897986 | BCBS |
| Texas | MEDICAID | 172056706 | BCBS |
| Texas | Other | 85013U | BCBS |
| Texas | MEDICAID | 172056702 | BCBS |
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