Provider Demographics
NPI:1871769430
Name:YACKOSKI, ANNA MARIE
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARIE
Last Name:YACKOSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-1200
Mailing Address - Country:US
Mailing Address - Phone:302-792-3937
Mailing Address - Fax:
Practice Address - Street 1:1000 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-1200
Practice Address - Country:US
Practice Address - Phone:302-792-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0034479163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse