Provider Demographics
NPI:1851912463
Name:LANMAN, ANNA BRAMMER (NP-C)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:BRAMMER
Last Name:LANMAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:KATHRYN
Other - Last Name:BRAMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 3290
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-7290
Mailing Address - Country:US
Mailing Address - Phone:541-963-1967
Mailing Address - Fax:
Practice Address - Street 1:142 E DEARBORN ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:OR
Practice Address - Zip Code:97883-9174
Practice Address - Country:US
Practice Address - Phone:541-562-6180
Practice Address - Fax:541-562-6186
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR390200000X390200000X
OR202007292NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program