Provider Demographics
NPI:1679945174
Name:MCNABB, ANA LUCIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:LUCIA
Last Name:MCNABB
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:LUCIA
Other - Last Name:ZAMUDIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:334 W 10TH PL
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-3497
Mailing Address - Country:US
Mailing Address - Phone:520-465-4553
Mailing Address - Fax:
Practice Address - Street 1:334 W 10TH PL
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-3497
Practice Address - Country:US
Practice Address - Phone:602-247-6797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ8234363LP0808X
AZAP8234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health