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Individual

DENA ANN WOODELL FOGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3800 S W S YOUNG DR STE 201, KILLEEN, TX 76542
(254) 245-9175
(254) 213-7771
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 245-9177

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
657431
TX
363LF0000X
Family Nurse Practitioner
657431
TX
363LP0200X
Pediatric Nurse Practitioner
657431
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173922901
TX
05
173922903
TX
05
173922904
TX
05
173922909
TX
Enumeration date
08/29/2006
Last updated
02/11/2025
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