Provider Demographics
NPI:1629596747
Name:HUEY, ANNE SOPELAND (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:SOPELAND
Last Name:HUEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:S
Other - Last Name:HUEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:3303 E BASELINE RD STE 113
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2740
Mailing Address - Country:US
Mailing Address - Phone:480-218-7105
Mailing Address - Fax:480-218-7108
Practice Address - Street 1:3048 E. BASELINE RD
Practice Address - Street 2:STE #120
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204
Practice Address - Country:US
Practice Address - Phone:480-505-3276
Practice Address - Fax:480-505-3288
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6814207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine