Provider Demographics
NPI:1952644965
Name:SASSAMAN, ANITA T (NP)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:T
Last Name:SASSAMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:3955 156TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-4831
Mailing Address - Country:US
Mailing Address - Phone:844-202-5555
Mailing Address - Fax:360-542-2254
Practice Address - Street 1:3955 156TH ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-4831
Practice Address - Country:US
Practice Address - Phone:206-669-3472
Practice Address - Fax:623-486-2739
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP4899363LP0808X
WAAP60750112363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health