Provider Demographics
NPI:1699854109
Name:BIRCHER, ANNAS ELAINE (NP)
Entity Type:Individual
Prefix:
First Name:ANNAS
Middle Name:ELAINE
Last Name:BIRCHER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 PORTLAND AVENUE
Mailing Address - Street 2:ST. ANN'S COMMUNITY
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621
Mailing Address - Country:US
Mailing Address - Phone:585-697-6082
Mailing Address - Fax:585-342-9166
Practice Address - Street 1:1500 PORTLAND AVENUE
Practice Address - Street 2:ST. ANN'S COMMUNITY
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621
Practice Address - Country:US
Practice Address - Phone:585-697-6082
Practice Address - Fax:585-342-9166
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301195-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health