Individual
ANNA ICTCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
34 MANCHESTER AVE STE 202, FORKED RIVER, NJ 08731-1366
(973) 954-4592
(973) 954-4592
Mailing address
1 UNIVERSITY PLZ STE 408, HACKENSACK, NJ 07601-6204
(973) 954-4592
(973) 954-4592
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15261500
NJ
Other
Enumeration date
01/02/2025
Last updated
09/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us