# ANECITA P. FADOL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346338548
- **Gender:** F
- **Credential:** RN, FNP, CNS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP104116 | TX | Yes |
| 363LF0000X | Family Nurse Practitioner | 444828 | TX | — |
| 364S00000X | Clinical Nurse Specialist | 444828 | TX | — |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 06/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41812102 | — | TX |
| 01 | — | 8N3143 | BCBS | TX |
| 01 | — | Q00088921 | RR MEDICARE | TX |