Provider Demographics
NPI:1538299011
Name:BRINZO, JULIE ANN (FNPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:BRINZO
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2245 BRINKER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-6175
Mailing Address - Country:US
Mailing Address - Phone:940-243-2789
Mailing Address - Fax:
Practice Address - Street 1:624 W UNIVERSITY DR # 397
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1889
Practice Address - Country:US
Practice Address - Phone:940-243-2789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX567215363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179825801OtherTPI
8K5699Medicare UPIN