Provider Demographics
NPI:1578075081
Name:TOFANEL, LIGIA LIANA (FNP)
Entity Type:Individual
Prefix:
First Name:LIGIA
Middle Name:LIANA
Last Name:TOFANEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 LONDONDERRY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7930
Mailing Address - Country:US
Mailing Address - Phone:254-751-9777
Mailing Address - Fax:254-751-9788
Practice Address - Street 1:333 LONDONDERRY DR STE 200
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7930
Practice Address - Country:US
Practice Address - Phone:254-751-9777
Practice Address - Fax:254-751-9788
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily