| Trina Desiree Lanza, RN, FNP | |
|
3549 High Timber Dr., Grapevine, TX 76051 | |
| (682) 521-2295 | |
| (682) 521-2295 |
| Full Name | Trina Desiree Lanza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3549 High Timber Dr., Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518917798 | NPI | - | NPPES |
| 177844105 | Medicaid | TX | |
| 177844103 | Medicaid | TX | |
| 177844104 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 583243 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP114312 (Texas) | Primary |
| Entity Name | Family And Child Guidance Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811062367 PECOS PAC ID: 1153413711 Enrollment ID: O20070828000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Trina Desiree Lanza, RN, FNP Po Box 1336, Colleyville, TX 76034 Ph: (682) 521-2295 | Trina Desiree Lanza, RN, FNP 3549 High Timber Dr., Grapevine, TX 76051 Ph: (682) 521-2295 |
Mrs. Evelyn Carol Ting, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1054 Texan Trail, Suite 100, Grapevine, TX 76051 Phone: 817-424-2113 Fax: 817-439-6839 | |
Tiffany Marie Woods, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 N Park Blvd Ste 114, Grapevine, TX 76051 Phone: 817-488-7771 | |
Kimberly Loraine Kammerer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Lancaster Dr Ste 10b, Grapevine, TX 76051 Phone: 817-576-6665 | |
Deborah Vaughan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1602 Lancaster Dr, Suite 102, Grapevine, TX 76051 Phone: 817-329-8364 Fax: 817-329-1285 | |
Mrs. Phillipa Ifeoma Modebelu, RN/NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 Ira E Woods Ave, Grapevine, TX 76051 Phone: 866-389-2727 | |
Ronald G Kimmel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Ira E Woods Ave, Ste. 600, Grapevine, TX 76051 Phone: 817-488-9991 | |
Megan Catanzaro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1643 Lancaster Dr Ste 305, Grapevine, TX 76051 Phone: 888-339-0906 |