Healthcare Provider Details

I. General information

NPI: 1457989998
Provider Name (Legal Business Name): ANITA HELEN CERVANTES APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 03/15/2022
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16902 SOUTHWEST FWY STE 108
SUGAR LAND TX
77479-3574
US

IV. Provider business mailing address

2925 BRIARPARK DR STE 575
HOUSTON TX
77042-3776
US

V. Phone/Fax

Practice location:
  • Phone: 281-783-8162
  • Fax:
Mailing address:
  • Phone: 281-336-0552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP145682
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: