Provider Demographics
NPI:1710165204
Name:ARMITAGE, ANJA E (PA)
Entity Type:Individual
Prefix:
First Name:ANJA
Middle Name:E
Last Name:ARMITAGE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:2206 LONGO DR
Mailing Address - Street 2:#201
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2977
Mailing Address - Country:US
Mailing Address - Phone:402-292-9170
Mailing Address - Fax:402-292-0119
Practice Address - Street 1:2206 LONGO DR
Practice Address - Street 2:#201
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2977
Practice Address - Country:US
Practice Address - Phone:402-292-9170
Practice Address - Fax:402-292-0119
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE1304363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant