Provider Demographics
NPI:1598384026
Name:ROUSE, ANNE-MARIE F (DC)
Entity Type:Individual
Prefix:
First Name:ANNE-MARIE
Middle Name:F
Last Name:ROUSE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANNE-MARIE
Other - Middle Name:
Other - Last Name:ROUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3328 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1292
Mailing Address - Country:US
Mailing Address - Phone:775-453-0311
Mailing Address - Fax:
Practice Address - Street 1:870 STENERI WAY STE 103
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-6320
Practice Address - Country:US
Practice Address - Phone:775-453-0311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01799111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor