Provider Demographics
NPI:1659847739
Name:ZENKOVA, ANNA (PA-C)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ZENKOVA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 FORBES AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5111
Mailing Address - Country:US
Mailing Address - Phone:412-232-3555
Mailing Address - Fax:412-232-3523
Practice Address - Street 1:10466 PERRY HIGHWAY
Practice Address - Street 2:BAIERL HONDA CPO BUILDING. 2ND FLOOR.
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090
Practice Address - Country:US
Practice Address - Phone:724-675-4188
Practice Address - Fax:412-232-3523
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA060231363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical