Khomlyak, Anna V

Khomlyak, Anna V is an individual health care provider with primary practice located at 16233 Sylvester Rd Sw Ste 260 , Burien WA 98166-3044. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Khomlyak, Anna V can be contacted via phone (206) 835-7400.

Contact Information

Primary practice address
16233 Sylvester Rd Sw Ste 260 Burien WA 98166-3044
Fax: (253) 835-7439
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60641612 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61466254 Washington

Profile Details

NPI number 1205598141
LBN Legal business name Khomlyak, Anna V
Credentials ARNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2021
Last updated Feb 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205598141 NPPES
Washington MEDICAID 2258378

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