Provider Demographics
NPI:1114789443
Name:MCLAUGHLIN, ANNA JEANETTE (RN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:JEANETTE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10509 TURNING LEAF TRL
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-3983
Mailing Address - Country:US
Mailing Address - Phone:903-221-6765
Mailing Address - Fax:
Practice Address - Street 1:10509 TURNING LEAF TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-3983
Practice Address - Country:US
Practice Address - Phone:903-221-6765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61425149163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse