Provider Demographics
NPI:1326507005
Name:AVNI, ANNE FISCHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:FISCHER
Last Name:AVNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 DECKER LAKE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-2382
Mailing Address - Country:US
Mailing Address - Phone:800-654-2422
Mailing Address - Fax:
Practice Address - Street 1:2875 DECKER LAKE DR STE 300
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-2382
Practice Address - Country:US
Practice Address - Phone:800-654-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217365-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology