Provider Demographics
NPI:1568621324
Name:STATS, ANNE T (RN)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:T
Last Name:STATS
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 1:2600 MARBLE, RRP CLINIC
Mailing Address - Street 2:MENTAL HEALTH CENTER, UNMH
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-5426
Mailing Address - Country:US
Mailing Address - Phone:505-272-2800
Mailing Address - Fax:505-272-9843
Practice Address - Street 1:2600 MARBLE, RRP CLINIC
Practice Address - Street 2:MENTAL HEALTH CENTER, UNMH
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-5426
Practice Address - Country:US
Practice Address - Phone:505-272-2800
Practice Address - Fax:505-272-9843
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-76277163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult