Provider Demographics
NPI:1013699321
Name:ANDERSON, ASIA MILKIYA
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:MILKIYA
Last Name:ANDERSON
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 1:1980 SALEM RD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-1308
Mailing Address - Country:US
Mailing Address - Phone:757-383-0437
Mailing Address - Fax:
Practice Address - Street 1:1980 SALEM ROAD
Practice Address - Street 2:UNIT 001
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-1308
Practice Address - Country:US
Practice Address - Phone:757-383-0437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide