Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Antonova

Individual provider Family Nurse Practitioner · NPI 1730962952

Anna Antonova is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Minuteclinic Diagnostic of Pennsylvania LLC, a 84-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
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Practice location Address checks out

6501 Harbison Ave
Philadelphia, PA 19149-2912
Phone: (215) 333-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP028340 (PA)

Record details

NPI number1730962952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2023
Last updated in NPPESJanuary 10, 2024
Certification dateDecember 27, 2023
Mailing address2263 Plum Ave, Bensalem, PA 19020-3538

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Minuteclinic Diagnostic Of Pennsylvania Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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