Provider Demographics
NPI:1760026967
Name:CROMWELL, ANA ROMELLYN
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:ROMELLYN
Last Name:CROMWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 HIGHGATE DR
Mailing Address - Street 2:
Mailing Address - City:BANDERA
Mailing Address - State:TX
Mailing Address - Zip Code:78003-3584
Mailing Address - Country:US
Mailing Address - Phone:210-849-8379
Mailing Address - Fax:
Practice Address - Street 1:233 HIGHGATE DR
Practice Address - Street 2:
Practice Address - City:BANDERA
Practice Address - State:TX
Practice Address - Zip Code:78003-3584
Practice Address - Country:US
Practice Address - Phone:210-849-8379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider