# ANASTASIA PSYCHIATRY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770395147
- **Authorized official:** ELIZABETH ROSS (CREDENTIALIN)
- **Authorized official phone:** (239) 732-1133

## Contact information

- **Practice address:** 1812 HARBOR LN, NAPLES, FL 34104-4274
- **Practice address phone:** (239) 494-0040
- **Mailing address:** 1812 HARBOR LN, NAPLES, FL 34104-4274
- **Mailing address phone:** (239) 494-0040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2025
- **Last updated:** 01/24/2025