Provider Demographics
NPI:1659849446
Name:FERRER, ANNA VIKTOROVNA (APRN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:VIKTOROVNA
Last Name:FERRER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 BRUCE B DOWNS BLVD # 331
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-8616
Mailing Address - Country:US
Mailing Address - Phone:917-445-4277
Mailing Address - Fax:
Practice Address - Street 1:33853 STATE ROAD 54 STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-9105
Practice Address - Country:US
Practice Address - Phone:813-715-2006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily