Anna Iliasova
Anna Iliasova is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2019, 7 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 7
- Licensed in
- SC
- In the registry since
- 2019
Practice location Address checks out
400 Palmetto Health PkwyColumbia, SC 29212-1760
Phone: (803) 907-7000
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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 22826 (SC) |
|---|
Record details
| NPI number | 1689226557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 11, 2019 |
| Last updated in NPPES | July 15, 2019 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Prisma Health Medical Group-Midlands — 1018 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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