Provider Demographics
NPI:1134564735
Name:SALVANA, ANNE (ANP-C, CCRN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:SALVANA
Suffix:
Gender:F
Credentials:ANP-C, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 24
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10272
Mailing Address - Country:US
Mailing Address - Phone:718-989-7272
Mailing Address - Fax:718-989-7270
Practice Address - Street 1:856 DEKALB AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221
Practice Address - Country:US
Practice Address - Phone:718-989-7272
Practice Address - Fax:718-989-7270
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00431400363LP2300X
NYF306560363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care