Individual
ANNA TICHTCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3901 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5430
(267) 979-2160
Mailing address
3901 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5430
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP034767
PA
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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