MEDICARE: MARSHA A LENEVEU WHNP

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	363LW0102X	Women's Health Nurse Practitioner	AP122441	TX

General Provider Information

NPI Number	:	1437409265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA A LENEVEU WHNP

Provider Business Mailing Address
First Line	:	PO BOX 732973
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-2973
Country	:	US
Telephone Number	:	817-918-5204
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 EPHRIHAM AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76164-6642
Country	:	US
Telephone Number	:	817-702-1100
Fax Number	:

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

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	10/14/2025

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