MEDICARE: ANNA DANILCHENKO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	303533	AZ
2	363LF0000X	Family Nurse Practitioner	F09201688	NY

General Provider Information

NPI Number	:	1598363657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA DANILCHENKO

Provider Business Mailing Address
First Line	:	6815 E CAMELBACK RD APT 2005
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-2405
Country	:	US
Telephone Number	:	347-255-2693
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 NEPTUNE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2060
Country	:	US
Telephone Number	:	347-255-2693
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2020
Last Update Date	:	01/15/2026

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Directions to “ ANNA DANILCHENKO ” Practice Location

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