Provider Demographics
NPI:1316679103
Name:STERIN, ANJELIKA
Entity type:Individual
Prefix:
First Name:ANJELIKA
Middle Name:
Last Name:STERIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANJELIKA
Other - Middle Name:
Other - Last Name:STERIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, DON
Mailing Address - Street 1:1653 THE FAIRWAY STE 215
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1420
Mailing Address - Country:US
Mailing Address - Phone:215-887-1200
Mailing Address - Fax:215-887-1212
Practice Address - Street 1:1653 THE FAIRWAY STE 215
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-1420
Practice Address - Country:US
Practice Address - Phone:215-877-1200
Practice Address - Fax:215-877-1212
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN524238L163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA274929729Medicaid