Pestine, Anna

Pestine, Anna is an sole proprietor health care provider with primary practice located at 237 Upper Riverdale Rd Sw , Riverdale GA 30274-2537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Pestine, Anna can be contacted via phone (770) 909-5003.

Contact Information

Primary practice address
237 Upper Riverdale Rd Sw Riverdale GA 30274-2537
Phone: (770) 909-5003
Fax: (770) 909-5004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN262205 Georgia

Profile Details

NPI number 1821596099
LBN Legal business name Pestine, Anna
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2018
Last updated Feb 22nd, 2019 - about 7 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 1821596099 NPPES
Georgia MEDICAID 496268

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