Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 33195 | NC |
Y | 207RA0201X | Internist - Allergy & Immunology | 0101247180 | VA |
N | 207RP1001X | Pulmonary Disease | 0101247180 | VA |
N | 207RP1001X | Pulmonary Disease | 33195 | NC |
NPI | 1003896770 |
---|---|
Provider Name | Aneysa Christine Sane |
First Address | Daleville, VA 24083-3082 |
Second Address | Daleville, VA 24083-3082 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 29/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1811004000 | (05) | WV |
20934 | PARTNERS (01) | |
2156963C | MEDICARE PTAN (01) | |
290014633 | RR MEDICARE (01) | |
51247 | MEDCOST (01) | |
5828082 | AETNA (01) | |
6018122 | (05) | VA |
74468 | BCBS (01) | |
8974468 | (05) | NC |
E73039 | (02) | |
Q33195 | (05) | VA |