MEDICARE: MS. ANNE ISABELLA FLAHERTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F06251768	TX

General Provider Information

NPI Number	:	1831088434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE ISABELLA FLAHERTY

Provider Business Mailing Address
First Line	:	2121 ALLEN PKWY APT 3096
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-2452
Country	:	US
Telephone Number	:	510-371-3623
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 ALLEN PKWY APT 3096
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-2452
Country	:	US
Telephone Number	:	510-371-3623
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	06/30/2025

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