Individual
ANNA LAURA ANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
913 S MAIN ST, DEL RIO, TX 78840-5807
(830) 774-5534
(830) 774-0890
Mailing address
PO BOX 1470, EAGLE PASS, TX 78853-1470
(830) 773-8917
(830) 773-1892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP130159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3575466-02
—
TX
01
—
F016286
AMERICAN ASSOCIATION OF NURSE PRATITIONERS
TX
Enumeration date
03/07/2012
Last updated
01/16/2020
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