Provider Demographics
NPI:1609536705
Name:VANWERT, ANNE-MARIE (MED)
Entity Type:Individual
Prefix:
First Name:ANNE-MARIE
Middle Name:
Last Name:VANWERT
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 N SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18504-1544
Mailing Address - Country:US
Mailing Address - Phone:570-604-0940
Mailing Address - Fax:
Practice Address - Street 1:835 N SUMNER AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504-1544
Practice Address - Country:US
Practice Address - Phone:570-604-0940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health