Individual
ANNA C MORTZFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 N 7TH ST, CHAMBERSBURG, PA 17201-1795
(717) 217-6803
(717) 217-6824
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057756
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100730726
MEDICAID GROUP #
PA
05
—
103162177
—
PA
01
—
867633
MEDICARE GROUP #
PA
Enumeration date
10/14/2015
Last updated
04/13/2021
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