Provider Demographics
NPI:1316956295
Name:STRICKLAND, ANNA V
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:V
Last Name:STRICKLAND
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:PO BOX 483
Mailing Address - Street 2:
Mailing Address - City:GLADE VALLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28627-0483
Mailing Address - Country:US
Mailing Address - Phone:336-572-0084
Mailing Address - Fax:
Practice Address - Street 1:4411 BEN FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27702
Practice Address - Country:US
Practice Address - Phone:919-477-0047
Practice Address - Fax:919-477-6919
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-01919363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner