MEDICARE: ONNA FEUCHTER APRN, FNP-C, FNP-BC.

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	163WS0121X	Plastic Surgery Registered Nurse	765159	TX
2	363L00000X	Nurse Practitioner	1048142	TX

General Provider Information

NPI Number	:	1720707037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ONNA FEUCHTER APRN, FNP-C, FNP-BC.

Provider Business Mailing Address
First Line	:	10028 TULE LAKE RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-1422
Country	:	US
Telephone Number	:	915-875-7112
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 E SOUTHLAKE BLVD
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-6250
Country	:	US
Telephone Number	:	817-416-8080
Fax Number	:

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

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	08/22/2022

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Directions to “ ONNA FEUCHTER APRN, FNP-C, FNP-BC.” Practice Location

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