Provider Demographics
NPI:1760372700
Name:FERRER FERNANDEZ, ANA LIDIA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:LIDIA
Last Name:FERRER FERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 SCARLET MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-3487
Mailing Address - Country:US
Mailing Address - Phone:409-683-2038
Mailing Address - Fax:
Practice Address - Street 1:8214 PRINCETON SQUARE BLVD E APT 915
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-8312
Practice Address - Country:US
Practice Address - Phone:409-683-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11040560363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner