Provider Demographics
NPI:1700363371
Name:HOEGENAUER, BETHANY PAIGE (FNP)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:PAIGE
Last Name:HOEGENAUER
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 1:1794 SUNSET TRL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-0326
Mailing Address - Country:US
Mailing Address - Phone:214-766-3878
Mailing Address - Fax:
Practice Address - Street 1:5649 LEBANON RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7263
Practice Address - Country:US
Practice Address - Phone:469-384-7536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily