Omalley, Ann

Omalley, Ann is an individual health care provider with primary practice located at 600 North Park St , Brenham TX 77833-2610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Omalley, Ann can be contacted via phone (979) 836-6153.

Contact Information

Primary practice address
600 North Park St Brenham TX 77833-2610
Phone: (979) 836-6153
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 229012 Texas

Profile Details

NPI number 1407870314
LBN Legal business name Omalley, Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407870314 NPPES
Texas MEDICAID 209303101

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