Provider Demographics
NPI:1114530532
Name:FALCON, BIANCA ELISA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BIANCA
Middle Name:ELISA
Last Name:FALCON
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5604 SOUTHWEST PKWY APT 1015
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-6248
Mailing Address - Country:US
Mailing Address - Phone:361-562-6548
Mailing Address - Fax:
Practice Address - Street 1:4315 JAMES CASEY ST STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3364
Practice Address - Country:US
Practice Address - Phone:512-383-9752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1009218363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily