Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 01012696555 | VA |
Y | 208600000X | Surgeon | 01012696555 | VA |
N | 208200000X | Surgeon | MT-191359 | PA |
N | 208600000X | Surgeon | MT-191359 | PA |
NPI | 1003107970 |
---|---|
Provider Name | Natasha S Annor |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Culpeper, VA 22701-3903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2011 |
Last Update Date | 27/09/2021 |