MEDICARE: ADRIANA CANTU FNP

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
1	363LF0000X	Family Nurse Practitioner	209035136	IL
2	363LF0000X	Family Nurse Practitioner	AP130727	TX

General Provider Information

NPI Number	:	1669835708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA CANTU FNP

Provider Business Mailing Address
First Line	:	200 OCEANGATE STE 100
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-4317
Country	:	US
Telephone Number	:	562-435-3666
Fax Number	:	562-499-6171

Provider Business Practice Location Address
First Line	:	1255 W 15TH ST STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075
Country	:	US
Telephone Number	:	888-562-5442
Fax Number	:	562-499-6171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	04/21/2026

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Directions to “ ADRIANA CANTU FNP” Practice Location

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