Provider Demographics
NPI:1346598729
Name:FLEISHER, ANASTASIA KAY (RN)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:KAY
Last Name:FLEISHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-1811
Mailing Address - Country:US
Mailing Address - Phone:612-227-6751
Mailing Address - Fax:
Practice Address - Street 1:1009 GRANT ST
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-1811
Practice Address - Country:US
Practice Address - Phone:612-227-6751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR2065263163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse