Provider Demographics
NPI:1578899845
Name:TAYLOR, ANNA MARIA (NP-C)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E MARSHALL AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5659
Mailing Address - Country:US
Mailing Address - Phone:903-236-2222
Mailing Address - Fax:903-315-1931
Practice Address - Street 1:701 E MARSHALL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5659
Practice Address - Country:US
Practice Address - Phone:903-236-2222
Practice Address - Fax:903-315-1931
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP118427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily