Provider Demographics
NPI:1134370257
Name:WHITE, ANNA R H (MS, RN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:R H
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 FM 3237 STE 111
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-2119
Mailing Address - Country:US
Mailing Address - Phone:512-847-3434
Mailing Address - Fax:512-847-6795
Practice Address - Street 1:201 FM 3237 STE 111
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-2119
Practice Address - Country:US
Practice Address - Phone:512-847-3434
Practice Address - Fax:512-847-6795
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX347249001Medicaid
395770YMG2OtherMEDICARE
P01462174OtherRR MEDICARE