Healthcare Provider Details

I. General information

NPI: 1629727763
Provider Name (Legal Business Name): ANNA CHRISTINE NEDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507-1910
US

IV. Provider business mailing address

PO BOX 1980
NORFOLK VA
23501-1980
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-9982
  • Fax:
Mailing address:
  • Phone: 757-446-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number0101285083
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number0101285083
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101285083
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: