Provider Demographics
NPI:1932974219
Name:WOOLRIDGE, BIANCA (FNP-C)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:WOOLRIDGE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3514 HIGHWAY 69 N APT 149
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-8944
Mailing Address - Country:US
Mailing Address - Phone:903-472-1848
Mailing Address - Fax:
Practice Address - Street 1:3166 DECKER DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-2017
Practice Address - Country:US
Practice Address - Phone:281-421-0459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1135257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily