Provider Demographics
NPI:1619165016
Name:PRESCOTT, ANN G (NP-C)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:G
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4166 WYNTREE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2521
Mailing Address - Country:US
Mailing Address - Phone:812-858-5050
Mailing Address - Fax:812-858-3680
Practice Address - Street 1:4166 WYNTREE DR
Practice Address - Street 2:SUITE A
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2521
Practice Address - Country:US
Practice Address - Phone:812-858-5050
Practice Address - Fax:812-858-3680
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71002471A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily