Provider Demographics
NPI:1609849983
Name:ANKE, KIRSTEN MARIE (RN, BSN, MPH)
Entity Type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:MARIE
Last Name:ANKE
Suffix:
Gender:F
Credentials:RN, BSN, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:146 DOLPHIN CIR
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-2214
Mailing Address - Country:US
Mailing Address - Phone:831-242-4826
Mailing Address - Fax:831-242-7558
Practice Address - Street 1:473 CABRILLO ST
Practice Address - Street 2:SUITE A1A
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93944-3201
Practice Address - Country:US
Practice Address - Phone:831-242-7550
Practice Address - Fax:831-242-7558
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN329747L163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health