Provider Demographics
NPI:1891446217
Name:CEREAN, ANA RUSU (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:RUSU
Last Name:CEREAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:ANA
Other - Middle Name:RUSU
Other - Last Name:CEREAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:1751 MEDICAL WAY
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4521
Mailing Address - Country:US
Mailing Address - Phone:254-498-5796
Mailing Address - Fax:
Practice Address - Street 1:31574 SCARTEEN
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78015-4068
Practice Address - Country:US
Practice Address - Phone:254-498-5796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF01200227363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily