Provider Demographics
NPI:1245863257
Name:DOCKTOR, ANNA ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:ELIZABETH
Last Name:DOCKTOR
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:12150 ANNAPOLIS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9183
Mailing Address - Country:US
Mailing Address - Phone:301-249-5384
Mailing Address - Fax:301-249-6047
Practice Address - Street 1:12150 ANNAPOLIS RD STE 300
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9183
Practice Address - Country:US
Practice Address - Phone:301-249-5384
Practice Address - Fax:301-249-6047
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2024-12-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant