MEDICARE: JANET ANAHI FLORES

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	163W00000X	Registered Nurse	385312270	TX

General Provider Information

NPI Number	:	1801486097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET ANAHI FLORES

Provider Business Mailing Address
First Line	:	3840 VILLA FLORA DR
Second Line	:	#4102
City	:	FORT WORTH
State	:	TX
Zip	:	76137
Country	:	US
Telephone Number	:	956-454-2471
Fax Number	:

Provider Business Practice Location Address
First Line	:	3840 VILLA FLORA DR #4102
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-7613
Country	:	US
Telephone Number	:	956-454-2471
Fax Number	:

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

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	01/21/2021

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Directions to “ JANET ANAHI FLORES ” Practice Location

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