MEDICARE: MS. ANNE GUNN APRN,B.C.

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	363L00000X	Nurse Practitioner	NP591471	TX

General Provider Information

NPI Number	:	1396877148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE GUNN APRN,B.C.

Provider Business Mailing Address
First Line	:	28792 ALOHA LN
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77356-2803
Country	:	US
Telephone Number	:	832-381-4952
Fax Number	:

Provider Business Practice Location Address
First Line	:	13718 BRIGHTON PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-4434
Country	:	US
Telephone Number	:	832-916-3277
Fax Number	:	832-916-3288

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

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	09/25/2015

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