Provider Demographics
NPI:1942352950
Name:TRYKA, ANNA FRANCINE (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:FRANCINE
Last Name:TRYKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3789
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83001-3789
Mailing Address - Country:US
Mailing Address - Phone:307-733-6418
Mailing Address - Fax:307-734-0885
Practice Address - Street 1:625 E BROADWAY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001
Practice Address - Country:US
Practice Address - Phone:307-733-6418
Practice Address - Fax:307-734-0885
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6461A207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYF36474Medicare UPIN
WYW308605Medicare PIN