Provider Demographics
NPI:1407611999
Name:SENOFSKY, ANNALISE OFELIA (DNP)
Entity Type:Individual
Prefix:
First Name:ANNALISE
Middle Name:OFELIA
Last Name:SENOFSKY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6418 ECKHERT RD APT 10303
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3012
Mailing Address - Country:US
Mailing Address - Phone:210-870-3310
Mailing Address - Fax:
Practice Address - Street 1:6418 ECKHERT RD APT 10303
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3012
Practice Address - Country:US
Practice Address - Phone:210-870-3310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX961059363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health