Provider Demographics
NPI:1902048614
Name:DAVIS, ANASTASIA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ANASTASIA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 RIALTO BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8574
Mailing Address - Country:US
Mailing Address - Phone:512-288-0859
Mailing Address - Fax:512-301-4821
Practice Address - Street 1:7710 RIALTO BLVD
Practice Address - Street 2:STE 150
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8574
Practice Address - Country:US
Practice Address - Phone:512-288-0859
Practice Address - Fax:512-301-4821
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX729080163W00000X
TXAP130689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse