Provider Demographics
NPI:1205034873
Name:PRATT, ANN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:ELIZABETH
Last Name:PRATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6554 S MCCARRAN BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6149
Mailing Address - Country:US
Mailing Address - Phone:775-324-0288
Mailing Address - Fax:775-323-5504
Practice Address - Street 1:6554 S MCCARRAN BLVD STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6149
Practice Address - Country:US
Practice Address - Phone:775-324-0288
Practice Address - Fax:775-323-5504
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2019-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV14544208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV14544OtherLICENSE