Individual
ANNE MARIE MISHKOFSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7185 HARBOUR TOWNE PKWY S STE 200, SUFFOLK, VA 23435-3896
(757) 457-5100
(757) 961-3696
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
(757) 961-3696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840363
VA
363AM0700X
Medical Physician Assistant
2359
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7619200754
—
GA
Enumeration date
08/14/2006
Last updated
03/11/2020
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