Provider Demographics
NPI:1578651311
Name:SINNOTT, ANNE MARIE (DO)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:SINNOTT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:SINNOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:11281 WATERSHED CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-6121
Mailing Address - Country:US
Mailing Address - Phone:717-424-1362
Mailing Address - Fax:
Practice Address - Street 1:777 RURAL AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-3109
Practice Address - Country:US
Practice Address - Phone:570-321-2340
Practice Address - Fax:904-346-0113
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012194207P00000X
NVDO2652207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI51987Medicare UPIN