# ANNA LEIGH VONCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023619129
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 025874 | NY | — |
| 363A00000X | Physician Assistant | 11341 | GA | Yes |

## Other

- **Enumeration date:** 11/04/2020
- **Last updated:** 05/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 025874 | OFFICE OF THE PROFESSIONS LICENSURE/REGISTRATION NUMBER | NY |
| 01 | — | 1177899 | NCCPA CERTIFICATION NUMBER | — |