Provider Demographics
NPI:1831896802
Name:VENTURA, ANNA MARIE (FNP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:VENTURA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 CRENSHAW RD STE 120
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3141
Mailing Address - Country:US
Mailing Address - Phone:713-943-8229
Mailing Address - Fax:713-944-3378
Practice Address - Street 1:5030 CRENSHAW RD STE 120
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3141
Practice Address - Country:US
Practice Address - Phone:713-943-8229
Practice Address - Fax:713-944-3378
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1110542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily