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Adrianna Nicole Azua

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

100 S Zarzamora St, San Antonio, TX 78207-3743

PECOS Enrollment

This provider is enrolled in PECOS as ADRIANNA AZUA.

Based on the most recent information from CMS, provider Adrianna Nicole Azua is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1427638162
Provider Type
Individual
Full Name
Azua, Adrianna Nicole
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
4/8/2021
Last Updated
4/8/2021

Contact Information

Practice Location

100 S Zarzamora St, San Antonio, TX 78207-3743

(210) 761-3393

Unlisted Fax

Mailing Location

100 S Zarzamora St, San Antonio, TX 78207-3743

(210) 761-3393

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1032237 Texas

Adrianna Nicole Azua

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shaffer, Brian Todd

Bui, Ti An

Herrera, Cassandra Rae

Brown, Tracy Devon

Ross, Cristina A

Ortiz, Stephanie

Flores, Gabriela Valdez

Reddy, Janie Anu

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Lemus, Rosie