Healthcare Provider Details

I. General information

NPI: 1538505284
Provider Name (Legal Business Name): LORRAINE ARLINE ANTONI APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5309 WILLIAMS DR STE B
CORPUS CHRISTI TX
78411-4638
US

IV. Provider business mailing address

5309 WILLIAMS DR STE B
CORPUS CHRISTI TX
78411-4638
US

V. Phone/Fax

Practice location:
  • Phone: 361-851-0545
  • Fax: 361-991-4673
Mailing address:
  • Phone: 361-851-0545
  • Fax: 361-991-4673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP117821
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number604654
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: