Anna Ictchenko, PMHNP-BC
NPI #1265241459 in Forked River, New Jersey
Provider Information
- NPI Number
- 1265241459
- Entity Type
- Individual
- Name
- Anna Ictchenko, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC
- Enumeration Date
- Jan 2, 2025
- Last Updated
- Sep 26, 2025
Practice Location
- Address
- 34 MANCHESTER AVE STE 202
- City
- Forked River
- State
- New Jersey
- ZIP Code
- 08731-1366
- Phone
- (973) 954-4592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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