Provider Demographics
NPI:1497589022
Name:GUADAGNO OLMOS, FRANCESCA GIULIANA
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:GIULIANA
Last Name:GUADAGNO OLMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7928 CEDAR LAKE LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-5014
Mailing Address - Country:US
Mailing Address - Phone:817-210-7414
Mailing Address - Fax:
Practice Address - Street 1:2727 BOLTON BOONE DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2019
Practice Address - Country:US
Practice Address - Phone:214-884-7525
Practice Address - Fax:214-884-7551
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1173058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily