Provider Demographics
NPI:1184959579
Name:EVERSHED, ANNA MARINDA (ND)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARINDA
Last Name:EVERSHED
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12911 120TH AVE NE
Mailing Address - Street 2:SUITE E-50
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3027
Mailing Address - Country:US
Mailing Address - Phone:425-820-7700
Mailing Address - Fax:425-820-7707
Practice Address - Street 1:12911 120TH AVE NE
Practice Address - Street 2:SUITE E-50
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3027
Practice Address - Country:US
Practice Address - Phone:425-820-7700
Practice Address - Fax:425-820-7707
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60111366175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath