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Anna Ictchenko, PMHNP-BC

NPI 1265241459 · on the registry since 2025

Practice

Address: 34 Manchester Ave Ste 202
Forked River, NJ 08731
Phone: (973) 954-4592
Fax: (973) 954-4592
Organisation at this address: Faemoe Limited
Shannon Keyes Dmd Llc
Atlantic Age Management
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Additional practice sites

1000 Herrontown Rd Ste 100, Princeton, NJ
303 W Main St Ste 350, Freehold, NJ

Registry record

Primary taxonomy: Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey