Provider Demographics
NPI:1336857598
Name:SARVER, ANISHA NOELLE (PA-C)
Entity type:Individual
Prefix:
First Name:ANISHA
Middle Name:NOELLE
Last Name:SARVER
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:2600 SPYGLASS DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48363-2464
Mailing Address - Country:US
Mailing Address - Phone:248-933-9967
Mailing Address - Fax:
Practice Address - Street 1:240 W 73RD ST FL 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2700
Practice Address - Country:US
Practice Address - Phone:212-362-4742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2024-05-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant