1982685079 NPI number — MRS. ANNE MCKEE POHNERT FNP

Table of content: MRS. ANNE MCKEE POHNERT FNP (NPI 1982685079)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982685079 NPI number — MRS. ANNE MCKEE POHNERT FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POHNERT
Provider First Name:
ANNE
Provider Middle Name:
MCKEE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BOARDMAN
Provider Other First Name:
ANNE
Provider Other Middle Name:
MCKEE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN, FNP-BC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982685079
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
52 WHITEHALL WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLINGHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02019-1875
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-883-0319
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
272 E CENTRAL ST
Provider Second Line Business Practice Location Address:
MINUTECLINIC
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02038-1319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-424-1302
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  0001168356 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 0024167400 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163W00000X , with the licence number: RN2290577 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: RN2290577 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)