Provider Demographics
NPI:1609011386
Name:BRASSELL, ANNE CHRISTINE (ND)
Entity Type:Individual
Prefix:DR
First Name:ANNE CHRISTINE
Middle Name:
Last Name:BRASSELL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:ANNE CHRISTINE
Other - Middle Name:
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11335 NE 122ND WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6912
Mailing Address - Country:US
Mailing Address - Phone:425-576-9272
Mailing Address - Fax:425-576-0894
Practice Address - Street 1:11335 NE 122ND WAY STE 250
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6912
Practice Address - Country:US
Practice Address - Phone:425-576-9272
Practice Address - Fax:425-576-0894
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ08-1088175F00000X
WANT60949228175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath