Provider Demographics
NPI:1639893522
Name:LENZY, BIANCA N (NNP)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:N
Last Name:LENZY
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6726 SLATON FLDS
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-3789
Mailing Address - Country:US
Mailing Address - Phone:210-707-0745
Mailing Address - Fax:
Practice Address - Street 1:6726 SLATON FLDS
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3789
Practice Address - Country:US
Practice Address - Phone:210-707-0745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1054881363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care