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Anna Antonova
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1730962952

Anna Antonova is a Family Nurse Practitioner based in Bensalem, PA and is specialized in Family. Anna Antonova practices in Philadelphia, PA. The NPI Number for Anna Antonova is 1730962952 and holds a License No. SP028340 (Pennsylvania).

The current practice location address for Anna Antonova is 6501 Harbison Ave, Philadelphia, PA and can be reached out via phone at 215-333-4300.

Location: 6501 Harbison Ave, Philadelphia, PA, 19020-3538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730962952
Provider Name
Anna Antonova
Credential
Provider Entity Type
Individual
Gender
Female
Address
6501 Harbison Ave, Philadelphia, PA, 19020-3538
Phone Number
215-333-4300
Fax Number
Provider Enumeration Date
08/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6501 Harbison Ave
City
Philadelphia
State
Pennsylvania
Zip
19149-2912
Phone Number
215-333-4300
Fax Number
person
Provider Business Mailing Address Details
Address
6501 Harbison Ave
City
Philadelphia
State
Pennsylvania
Zip
19149-2912
Phone Number
215-333-4300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP028340 (Pennsylvania)
Definition
Definition to come...
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