MEDICARE: ANNA APER ASW

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1184191033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA APER ASW

Provider Business Mailing Address
First Line	:	PO BOX 1327
Second Line	:
City	:	LINCOLN
State	:	CA
Zip	:	95648-1327
Country	:	US
Telephone Number	:	916-905-0645
Fax Number	:

Provider Business Practice Location Address
First Line	:	6060 SUNRISE VISTA DR
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-7053
Country	:	US
Telephone Number	:	928-713-4402
Fax Number	:

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

Provider Enumeration Date	:	10/30/2018
Last Update Date	:	03/11/2022

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