Provider Demographics
NPI:1558706481
Name:SHVARTSMAN, ANNA
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:SHVARTSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:KAZARIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:908 YARMOUTH LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-6249
Mailing Address - Country:US
Mailing Address - Phone:856-296-7517
Mailing Address - Fax:856-316-4185
Practice Address - Street 1:360 ROUTE 73 S
Practice Address - Street 2:MINUTECLINIC
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2004
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00434400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily