Provider Demographics
NPI:1235673104
Name:ARTHEN, ANNA (ND, PHARMD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ARTHEN
Suffix:
Gender:F
Credentials:ND, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 KAREN CIR
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1914
Mailing Address - Country:US
Mailing Address - Phone:413-370-2692
Mailing Address - Fax:
Practice Address - Street 1:152 NORTHAMPTON ST
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027
Practice Address - Country:US
Practice Address - Phone:413-370-2692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0134070175F00000X
VT033.0128582183500000X
MAPH233696183500000X
CTPCT.0012489183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No183500000XPharmacy Service ProvidersPharmacist