Provider Demographics
NPI:1427157031
Name:BISCEGLIA, MARIA L (ARNP, CPNP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:L
Last Name:BISCEGLIA
Suffix:
Gender:F
Credentials:ARNP, CPNP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:LEIGH
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1935 MEDICAL DISTRICT DR
Mailing Address - Street 2:E3.01
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7701
Mailing Address - Country:US
Mailing Address - Phone:214-456-2382
Mailing Address - Fax:214-456-6133
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:E3.01
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-2382
Practice Address - Fax:214-456-6133
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 928557363LP0200X
TXRN 667870363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000648700Medicaid
FL000648700Medicaid
FLBS103ZMedicare PIN