Provider Demographics
NPI:1285864355
Name:ANNEAR, YVONNE MAXIME (LMP)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:MAXIME
Last Name:ANNEAR
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 663
Mailing Address - Street 2:
Mailing Address - City:SEABECK
Mailing Address - State:WA
Mailing Address - Zip Code:98380-0663
Mailing Address - Country:US
Mailing Address - Phone:360-830-0828
Mailing Address - Fax:
Practice Address - Street 1:13828 NW MAUI LN
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-8517
Practice Address - Country:US
Practice Address - Phone:360-830-0828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist