1225010002 NPI number — MS. ANNE L. OLSHANSKY HRYNIEWICZ M.S.W.

Table of content: MS. ANNE L. OLSHANSKY HRYNIEWICZ M.S.W. (NPI 1225010002)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225010002 NPI number — MS. ANNE L. OLSHANSKY HRYNIEWICZ M.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OLSHANSKY HRYNIEWICZ
Provider First Name:
ANNE
Provider Middle Name:
L.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225010002
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/05/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
901 VENETIA BAY BLVD
Provider Second Line Business Mailing Address:
SUITE 220A
Provider Business Mailing Address City Name:
VENICE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34285-8041
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-480-1897
Provider Business Mailing Address Fax Number:
941-378-5808

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
901 VENETIA BAY BLVD
Provider Second Line Business Practice Location Address:
SUITE 220A
Provider Business Practice Location Address City Name:
VENICE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34285-8041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-480-1897
Provider Business Practice Location Address Fax Number:
941-378-5808
Provider Enumeration Date:
11/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  SW0002304 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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