Provider Demographics
NPI:1497104251
Name:MEKHED, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MEKHED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 H ST
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-5555
Mailing Address - Country:US
Mailing Address - Phone:619-427-0665
Mailing Address - Fax:
Practice Address - Street 1:333 H ST
Practice Address - Street 2:SUITE 2000
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-5555
Practice Address - Country:US
Practice Address - Phone:619-427-0665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-11
Last Update Date:2016-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95004377363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily