Provider Demographics
NPI:1497342943
Name:TUNSTALL FERNANDEZ, ANASTASIA GARNET (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ANASTASIA
Middle Name:GARNET
Last Name:TUNSTALL FERNANDEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:ANASTASIA
Other - Middle Name:
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:6315 S ZARZAMORA ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78211-3218
Mailing Address - Country:US
Mailing Address - Phone:210-922-7000
Mailing Address - Fax:210-924-4113
Practice Address - Street 1:6315 S ZARZAMORA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-3218
Practice Address - Country:US
Practice Address - Phone:210-922-7000
Practice Address - Fax:210-924-4113
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1007348363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily