Provider Demographics
NPI:1487867115
Name:BIGLOW, ANICIA SULLIVAN (APRN, BS)
Entity Type:Individual
Prefix:MRS
First Name:ANICIA
Middle Name:SULLIVAN
Last Name:BIGLOW
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Gender:F
Credentials:APRN, BS
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Mailing Address - Street 1:390 17TH ST NW
Mailing Address - Street 2:UNIT 2020
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30363-1018
Mailing Address - Country:US
Mailing Address - Phone:404-541-9699
Mailing Address - Fax:404-541-9698
Practice Address - Street 1:390 17TH ST NW
Practice Address - Street 2:UNIT 2020
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30363-2000
Practice Address - Country:US
Practice Address - Phone:404-541-9699
Practice Address - Fax:404-541-9698
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-08-27
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Provider Licenses
StateLicense IDTaxonomies
GARN058793364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health