Provider Demographics
NPI:1942202569
Name:BITTNER, ANNA KATHRYN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KATHRYN
Last Name:BITTNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1702 HOMESTEAD CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4420
Mailing Address - Country:US
Mailing Address - Phone:804-822-5848
Mailing Address - Fax:804-320-7994
Practice Address - Street 1:1702 HOMESTEAD CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4420
Practice Address - Country:US
Practice Address - Phone:804-822-5848
Practice Address - Fax:804-320-7994
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043668207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A99796Medicare UPIN