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Individual

ANITA POOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78412-1721
(361) 694-5311
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5311

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
588437
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
588437
RN LICENSE
TX
01
F0611005
NP LICENSE
TX
Enumeration date
07/07/2011
Last updated
02/26/2013
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