Provider Demographics
NPI:1922392638
Name:MCALLISTER, ANNA CHRISTINA (RN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CHRISTINA
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:CHRISTINA
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 1395
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-1395
Mailing Address - Country:US
Mailing Address - Phone:503-739-1706
Mailing Address - Fax:
Practice Address - Street 1:547 BOND ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-4230
Practice Address - Country:US
Practice Address - Phone:503-739-1706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200540739RN163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical