Provider Demographics
NPI:1780660688
Name:FRABOTTA, ANNA (APRN, BC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:FRABOTTA
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:DIVINCENZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-6060
Mailing Address - Fax:330-543-8463
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-6060
Practice Address - Fax:330-543-8463
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.05385-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner