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NPI Code Detail

MEDICARE: ADRIENNE CANO RN

MEDICARE:   ADRIENNE  CANO  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered Nurse1186714TX

General Provider Information

NPI Number : 1669271763
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE CANO RN
Provider Business Mailing Address
First Line : 301 SW ALSBURY BLVD
Second Line :
City : BURLESON
State : TX
Zip : 76028-3703
Country : US
Telephone Number : 802-310-6457
Fax Number :
Provider Business Practice Location Address
First Line : 2716 CULLEN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-1304
Country : US
Telephone Number : 817-335-3022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2025
Last Update Date : 03/11/2025

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