Provider Demographics
NPI:1740690379
Name:DURNAL, ANNA MARIA (FNP - ADVANCED PRACT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:DURNAL
Suffix:
Gender:F
Credentials:FNP - ADVANCED PRACT
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:POPOVICH-DURNAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-ADVANCED PRACT
Mailing Address - Street 1:4015 W OASIS DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-9596
Mailing Address - Country:US
Mailing Address - Phone:520-730-1725
Mailing Address - Fax:888-288-7107
Practice Address - Street 1:4015 W OASIS DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-9596
Practice Address - Country:US
Practice Address - Phone:520-730-1725
Practice Address - Fax:888-288-7107
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-05
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily