Provider Demographics
NPI:1609984145
Name:FLOWER, ANITA REBECCA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:REBECCA
Last Name:FLOWER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANITA
Other - Middle Name:REBECCA
Other - Last Name:JANKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9384 FORESTWOOD LN STE A
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4748
Mailing Address - Country:US
Mailing Address - Phone:703-369-2999
Mailing Address - Fax:703-369-3118
Practice Address - Street 1:9384 FORESTWOOD LN STE A
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4748
Practice Address - Country:US
Practice Address - Phone:703-369-2999
Practice Address - Fax:703-369-3118
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043713208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF69811Medicare UPIN