Provider Demographics
NPI:1851142244
Name:SACKETT, ANNA CHERIE (CPM)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:CHERIE
Last Name:SACKETT
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 CAMP BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:WISE
Mailing Address - State:VA
Mailing Address - Zip Code:24293-6520
Mailing Address - Country:US
Mailing Address - Phone:276-298-7946
Mailing Address - Fax:276-883-6231
Practice Address - Street 1:9050 CAMP BETHEL RD
Practice Address - Street 2:
Practice Address - City:WISE
Practice Address - State:VA
Practice Address - Zip Code:24293-6520
Practice Address - Country:US
Practice Address - Phone:276-298-7946
Practice Address - Fax:276-883-6231
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000194176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife