Provider Demographics
NPI:1639126329
Name:SHAPTER, ANNE P (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:P
Last Name:SHAPTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:146 W RIVER ST
Mailing Address - Street 2:SOUTH, 3RD FLOOR
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-2609
Mailing Address - Country:US
Mailing Address - Phone:401-793-5700
Mailing Address - Fax:401-793-7801
Practice Address - Street 1:146 W RIVER ST
Practice Address - Street 2:SOUTH, 3RD FLOOR
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2609
Practice Address - Country:US
Practice Address - Phone:401-793-5700
Practice Address - Fax:401-793-7801
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153243207VX0201X
NH10105207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30204854Medicaid
MA3167526Medicaid
NH30204854Medicaid
MA3167526Medicaid