Provider Demographics
NPI:1487063228
Name:HADBAVNY, ANNA (RN)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:
Last Name:HADBAVNY
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 1:347 MERCER DR
Mailing Address - Street 2:
Mailing Address - City:COBB
Mailing Address - State:GA
Mailing Address - Zip Code:31735-2154
Mailing Address - Country:US
Mailing Address - Phone:229-942-8919
Mailing Address - Fax:
Practice Address - Street 1:415 NORTH JACKSON STREET
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709
Practice Address - Country:US
Practice Address - Phone:229-931-2470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN191794163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse