Provider Demographics
NPI:1982298360
Name:MISNER, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MISNER
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 1:299 TOWNSHIP ROAD 1273
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-8564
Mailing Address - Country:US
Mailing Address - Phone:304-691-9459
Mailing Address - Fax:
Practice Address - Street 1:299 TOWNSHIP ROAD 1273
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-8564
Practice Address - Country:US
Practice Address - Phone:304-691-9459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker