Provider Demographics
NPI:1568638245
Name:NAY, ANNETTE GOTCHY
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:GOTCHY
Last Name:NAY
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 1:66 W HARDING AVE
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-2695
Mailing Address - Country:US
Mailing Address - Phone:435-590-7568
Mailing Address - Fax:270-778-9215
Practice Address - Street 1:714 S 1175 W
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3699
Practice Address - Country:US
Practice Address - Phone:435-590-7568
Practice Address - Fax:270-778-9215
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5027458-6009170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS