Provider Demographics
NPI:1033526975
Name:RIBICH, ANNA M (DNP, ARNP, FNP)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:M
Last Name:RIBICH
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 12TH AVE S
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2712
Mailing Address - Country:US
Mailing Address - Phone:206-548-3114
Mailing Address - Fax:206-762-6355
Practice Address - Street 1:1753 NW 56TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-5279
Practice Address - Country:US
Practice Address - Phone:206-782-5939
Practice Address - Fax:206-782-5934
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60427015363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily