Provider Demographics
NPI:1508981077
Name:DEWITT, ANNE DUDLEY (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:DUDLEY
Last Name:DEWITT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 GULF FWY
Mailing Address - Street 2:#1728
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-9013
Mailing Address - Country:US
Mailing Address - Phone:409-771-8200
Mailing Address - Fax:
Practice Address - Street 1:2602 QUAKER DR
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77590-3782
Practice Address - Country:US
Practice Address - Phone:409-945-8569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX616512163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health