Provider Demographics
NPI:1972680650
Name:PINNING, ANN LENORE (NP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LENORE
Last Name:PINNING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:KIEWITT 211
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-776-5620
Mailing Address - Fax:760-776-5626
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:KIEWITT 211
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-776-5620
Practice Address - Fax:760-776-5626
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA406778363LF0000X
CA11067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABI556ZMedicare PIN