Provider Demographics
NPI:1598176539
Name:GNADT, ANNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:GNADT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:RIPSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1105 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66506-3761
Mailing Address - Country:US
Mailing Address - Phone:785-532-6544
Mailing Address - Fax:
Practice Address - Street 1:1105 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66506-3761
Practice Address - Country:US
Practice Address - Phone:785-532-6544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant