Provider Demographics
NPI:1790078822
Name:ANU HEALING
Entity Type:Organization
Organization Name:ANU HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ NATUROPATHIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:360-600-8518
Mailing Address - Street 1:190 BOZARTH AVE UNIT 572
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98674-0810
Mailing Address - Country:US
Mailing Address - Phone:360-600-8518
Mailing Address - Fax:866-734-5277
Practice Address - Street 1:339 BOZARTH AVE
Practice Address - Street 2:A
Practice Address - City:WOODLAND
Practice Address - State:WA
Practice Address - Zip Code:98674-8424
Practice Address - Country:US
Practice Address - Phone:360-600-8518
Practice Address - Fax:866-734-5277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 60737133175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty