Provider Demographics
NPI:1871034256
Name:VOLK, ANNA NATASHA
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:NATASHA
Last Name:VOLK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 N HAYWORTH AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-7130
Mailing Address - Country:US
Mailing Address - Phone:440-610-2332
Mailing Address - Fax:
Practice Address - Street 1:930 N HAYWORTH AVE
Practice Address - Street 2:APT 2
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-7130
Practice Address - Country:US
Practice Address - Phone:440-610-2332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006354363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health