Provider Demographics
NPI:1316432784
Name:ZIVKOVIC, ANA (APRN CNM)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:ZIVKOVIC
Suffix:
Gender:F
Credentials:APRN CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 LOWNDES HILL RD BLDG 1
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2101
Mailing Address - Country:US
Mailing Address - Phone:800-967-2289
Mailing Address - Fax:864-627-9920
Practice Address - Street 1:1643 NW 136TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2857
Practice Address - Country:US
Practice Address - Phone:954-835-2853
Practice Address - Fax:865-291-3658
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9360855367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife