Provider Demographics
NPI:1548381411
Name:ARSENIAN, ANNA R (RN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:R
Last Name:ARSENIAN
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 1:2133 COTTON CLUB DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2707
Mailing Address - Country:US
Mailing Address - Phone:361-992-2815
Mailing Address - Fax:361-882-5241
Practice Address - Street 1:2133 COTTON CLUB DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-2707
Practice Address - Country:US
Practice Address - Phone:361-992-2815
Practice Address - Fax:361-882-5241
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228359163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant