Provider Demographics
NPI:1033493572
Name:HERRERA, ANA MARIA (DNP, RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:MARIA
Last Name:HERRERA
Suffix:
Gender:F
Credentials:DNP, RN, FNP-C
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:MARIA
Other - Last Name:QUINTANILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7112 GENTLE OAK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1896
Mailing Address - Country:US
Mailing Address - Phone:512-699-6801
Mailing Address - Fax:512-488-1745
Practice Address - Street 1:2111 KRAMER LN STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4032
Practice Address - Country:US
Practice Address - Phone:512-508-8320
Practice Address - Fax:512-488-1745
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX729408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX293335YKYMMedicare PIN