Provider Demographics
NPI:1447215280
Name:TOMLINSON, ANNA R (CRNA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:R
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:R
Other - Last Name:CIOCCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:8705 WOODFIELD CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-3710
Mailing Address - Country:US
Mailing Address - Phone:808-388-5510
Mailing Address - Fax:
Practice Address - Street 1:8705 WOODFIELD CT
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-3710
Practice Address - Country:US
Practice Address - Phone:808-388-5510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN507926L367500000X
MDR190263367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0077303130003Medicaid
PA1395397OtherHIGHMARK
PA0077303130003Medicaid
PAP48737Medicare UPIN
PA0054224PGMedicare PIN