Provider Demographics
NPI:1619029576
Name:RASMUSSEN, ANNA F (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:F
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 CROSS RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-1015
Mailing Address - Country:US
Mailing Address - Phone:973-605-8762
Mailing Address - Fax:
Practice Address - Street 1:330 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-2352
Practice Address - Country:US
Practice Address - Phone:908-508-1345
Practice Address - Fax:608-508-1358
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO05240000163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool