Provider Demographics
NPI:1083835227
Name:SINNOTT, ANITA D (NP)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:D
Last Name:SINNOTT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:3018 N PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1711
Mailing Address - Country:US
Mailing Address - Phone:229-249-4121
Mailing Address - Fax:229-249-4031
Practice Address - Street 1:3018 N PATTERSON ST
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1711
Practice Address - Country:US
Practice Address - Phone:229-249-4121
Practice Address - Fax:229-249-4031
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN098278363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I508802Medicare PIN