Provider Demographics
NPI:1215665708
Name:SOLLEY, ANNA MARIE (CNP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:SOLLEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MARIE
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:909 MILLER COUNTY 18
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-0901
Mailing Address - Country:US
Mailing Address - Phone:903-748-3343
Mailing Address - Fax:
Practice Address - Street 1:300 E 6TH ST
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-5207
Practice Address - Country:US
Practice Address - Phone:903-949-6226
Practice Address - Fax:870-330-4358
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR124242363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily