Provider Demographics
NPI:1144645888
Name:MUSMAN, ANNA (PNP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MUSMAN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FIRST AVENUE
Mailing Address - Street 2:SPAULDING REHABILITATION HOSPITAL- PEDIATRIC UNIT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02129
Mailing Address - Country:US
Mailing Address - Phone:617-952-5800
Mailing Address - Fax:
Practice Address - Street 1:300 1ST AVE
Practice Address - Street 2:SPAULDING REHABILITATION HOSPITAL- PEDIATRIC UNIT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02129-3109
Practice Address - Country:US
Practice Address - Phone:617-952-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2270534363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics