Provider Demographics
NPI:1346760477
Name:IRVINE, ANNE S
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:S
Last Name:IRVINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 OAKLAND RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4807
Mailing Address - Country:US
Mailing Address - Phone:828-252-2511
Mailing Address - Fax:828-252-5711
Practice Address - Street 1:43 OAKLAND RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4807
Practice Address - Country:US
Practice Address - Phone:828-252-2515
Practice Address - Fax:828-252-5711
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021-01244207Q00000X
NC202101244207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine