Provider Demographics
NPI:1124147087
Name:SZENTES, ANIKO A (PA-C)
Entity type:Individual
Prefix:MS
First Name:ANIKO
Middle Name:A
Last Name:SZENTES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3708 55TH ST NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-4571
Mailing Address - Country:US
Mailing Address - Phone:253-344-1676
Mailing Address - Fax:253-344-1676
Practice Address - Street 1:3708 55TH ST NE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98422-4571
Practice Address - Country:US
Practice Address - Phone:253-344-1676
Practice Address - Fax:253-344-1676
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA 60075511363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical