Provider Demographics
NPI:1033735709
Name:PLUMLEY, ANNA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:PLUMLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:834 S LAPEER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-5039
Mailing Address - Country:US
Mailing Address - Phone:248-384-8320
Mailing Address - Fax:248-384-8321
Practice Address - Street 1:834 S LAPEER RD STE 100
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-5039
Practice Address - Country:US
Practice Address - Phone:248-384-8320
Practice Address - Fax:248-384-8321
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-18
Last Update Date:2024-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601009999363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical