Provider Demographics
NPI:1194587972
Name:STINSON, ANNA (PMHNP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:STINSON
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2357 NW 167TH ST APT 208
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-4563
Mailing Address - Country:US
Mailing Address - Phone:202-549-3166
Mailing Address - Fax:
Practice Address - Street 1:2357 NW 167TH ST APT 208
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-4563
Practice Address - Country:US
Practice Address - Phone:202-549-3166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028855363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health