Provider Demographics
NPI:1033850094
Name:NATWORA, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:NATWORA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17905 FETLOCK DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89508-6513
Mailing Address - Country:US
Mailing Address - Phone:775-513-7538
Mailing Address - Fax:
Practice Address - Street 1:17905 FETLOCK DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89508-6513
Practice Address - Country:US
Practice Address - Phone:775-513-7538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95067956163WC0400X
NVRN58020163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management