Provider Demographics
NPI:1245419910
Name:SHALNEV, ANNA (LVN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SHALNEV
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3424 MAJAR COURT
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682
Mailing Address - Country:US
Mailing Address - Phone:916-879-0230
Mailing Address - Fax:530-677-9310
Practice Address - Street 1:7016 FORMAN WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828
Practice Address - Country:US
Practice Address - Phone:916-879-0230
Practice Address - Fax:530-677-9310
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN203928164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse