Provider Demographics
NPI:1013315498
Name:TARBET, ANNA MARIE (LICENSED MIDWIFE)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:TARBET
Suffix:
Gender:F
Credentials:LICENSED MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 S 16TH ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-6224
Mailing Address - Country:US
Mailing Address - Phone:417-396-8570
Mailing Address - Fax:
Practice Address - Street 1:2004 S 16TH ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-6224
Practice Address - Country:US
Practice Address - Phone:417-396-8570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR042013175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay