Provider Demographics
NPI:1083368302
Name:POPE, ANNE CHRISTINE (RN, BSN, CHPN)
Entity Type:Individual
Prefix:
First Name:ANNE CHRISTINE
Middle Name:
Last Name:POPE
Suffix:
Gender:F
Credentials:RN, BSN, CHPN
Other - Prefix:
Other - First Name:ANNE CHRISTINE
Other - Middle Name:RAMOS
Other - Last Name:INDUCTIVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, CHPN
Mailing Address - Street 1:3580 W GRANT LINE RD UNIT 412
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95304-9610
Mailing Address - Country:US
Mailing Address - Phone:408-802-1104
Mailing Address - Fax:
Practice Address - Street 1:3580 W GRANT LINE RD UNIT 412
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95304-9610
Practice Address - Country:US
Practice Address - Phone:408-802-1104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-06
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI91889163W00000X
CA95260134163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95260134OtherBOARD OF REGISTERED NURSING