Provider Demographics
NPI:1790152627
Name:LEVINGS, ANN (RN, LAC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:LEVINGS
Suffix:
Gender:F
Credentials:RN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9068 STRAIGHT ARROW RD
Mailing Address - Street 2:
Mailing Address - City:IGO
Mailing Address - State:CA
Mailing Address - Zip Code:96047-9731
Mailing Address - Country:US
Mailing Address - Phone:530-554-2328
Mailing Address - Fax:
Practice Address - Street 1:616 AZALEA AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0217
Practice Address - Country:US
Practice Address - Phone:530-554-2328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 320625163W00000X
CAAC 16433171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse