Provider Demographics
NPI:1508175001
Name:POUCHET, ANNA MARIA (ND)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARIA
Last Name:POUCHET
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6121 NE 175TH ST
Mailing Address - Street 2:APT C204
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-4849
Mailing Address - Country:US
Mailing Address - Phone:347-416-4421
Mailing Address - Fax:425-485-2247
Practice Address - Street 1:11920 NE 195TH ST
Practice Address - Street 2:SUITE 516
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3147
Practice Address - Country:US
Practice Address - Phone:347-416-4421
Practice Address - Fax:425-485-2247
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60172450175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath