Individual provider · Type 1 NPI
Anna Antonova
Family Nurse Practitioner · Philadelphia, PA
NPI number
1730962952
Active
Practice location
6501 Harbison Ave
Philadelphia, PA 19149-2912
Mailing address
2263 Plum Ave
Bensalem, PA 19020-3538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP028340 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1730962952
Anna Antonova's National Provider Identifier is 1730962952, issued on Aug 14, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 10, 2024.