Healthcare Provider Details

I. General information

NPI: 1942855283
Provider Name (Legal Business Name): ANNA VOLKOVINSKAIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GARNET WAY
WARM SPRINGS MT
59756-9705
US

IV. Provider business mailing address

100 GARNET WAY
WARM SPRINGS MT
59756-9705
US

V. Phone/Fax

Practice location:
  • Phone: 406-693-7000
  • Fax:
Mailing address:
  • Phone: 406-693-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberMED-PHYS-LIC-154013
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0070726
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: