Provider Demographics
NPI:1831431063
Name:FRISBY, ANNA D (PA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:D
Last Name:FRISBY
Suffix:
Gender:F
Credentials:PA
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 105
Mailing Address - Street 2:
Mailing Address - City:HYDABURG
Mailing Address - State:AK
Mailing Address - Zip Code:99922-0105
Mailing Address - Country:US
Mailing Address - Phone:907-285-3462
Mailing Address - Fax:907-285-3464
Practice Address - Street 1:8TH STREET EXTENSION
Practice Address - Street 2:
Practice Address - City:HYDABURG
Practice Address - State:AK
Practice Address - Zip Code:99922-0069
Practice Address - Country:US
Practice Address - Phone:907-285-3462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2247363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant