Provider Demographics
NPI:1679957872
Name:NOPENS, ANNE MARIE
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:NOPENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 CALUMET AVE SE
Mailing Address - Street 2:
Mailing Address - City:DE SMET
Mailing Address - State:SD
Mailing Address - Zip Code:57231-3101
Mailing Address - Country:US
Mailing Address - Phone:605-854-9033
Mailing Address - Fax:605-854-9114
Practice Address - Street 1:213 CALUMET AVE SE
Practice Address - Street 2:
Practice Address - City:DE SMET
Practice Address - State:SD
Practice Address - Zip Code:57231-3101
Practice Address - Country:US
Practice Address - Phone:605-854-9033
Practice Address - Fax:605-854-9114
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD4909183500000X
AZS018315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist