Provider Demographics
NPI:1861923179
Name:CLASS, ANA MARIA (NP)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:MARIA
Last Name:CLASS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:CLASS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:12857 SAWGRASS PINE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4887
Mailing Address - Country:US
Mailing Address - Phone:407-620-0372
Mailing Address - Fax:
Practice Address - Street 1:12857 SAWGRASS PINE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-4887
Practice Address - Country:US
Practice Address - Phone:407-620-0372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9352815363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL4FQPOtherBCBS
FL105179900Medicaid