Individual
ANJU ANIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 6 DULLES, PHILADELPHIA, PA 19104-4238
(215) 349-8310
Mailing address
3400 SPRUCE ST, 6 DULLES, PHILADELPHIA, PA 19104-4238
(215) 349-8310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP013802
PA
363L00000X
Nurse Practitioner
Primary
TLRN043475
PA
363LA2100X
Acute Care Nurse Practitioner
SP013802
PA
Other
Enumeration date
03/06/2014
Last updated
07/12/2023
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