Provider Demographics
NPI:1043393283
Name:PRICE, ANITA MCKINNEY (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:MCKINNEY
Last Name:PRICE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 WOODFIN ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3020
Mailing Address - Country:US
Mailing Address - Phone:828-250-5277
Mailing Address - Fax:828-250-6165
Practice Address - Street 1:11 OAK RIDGE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2324
Practice Address - Country:US
Practice Address - Phone:828-298-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC100653363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC100653OtherN.C. STATE LICENSE #
NCMP1031917OtherDEA #