Healthcare Provider Details

I. General information

NPI: 1780598805
Provider Name (Legal Business Name): ANNA ASHIROVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 HIGHWOOD AVE APT 2
WEEHAWKEN NJ
07086-7010
US

IV. Provider business mailing address

213 HIGHWOOD AVE APT 2
WEEHAWKEN NJ
07086-7010
US

V. Phone/Fax

Practice location:
  • Phone: 347-915-9457
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0121X
TaxonomyPlastic Surgery Registered Nurse
License Number26NR24221900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: