Provider Demographics
NPI:1972132959
Name:KAZMA, ANA MICHAELA (AGPCNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANA MICHAELA
Middle Name:
Last Name:KAZMA
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4449
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4449
Mailing Address - Country:US
Mailing Address - Phone:956-362-8460
Mailing Address - Fax:956-362-8455
Practice Address - Street 1:1200 E SAVANNAH AVE STE 7
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1728
Practice Address - Country:US
Practice Address - Phone:956-362-8460
Practice Address - Fax:956-362-8455
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145655363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology