Provider Demographics
NPI:1205177482
Name:URRUTIA, ANNE LENE (NURSE MIDWIFE)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:LENE
Last Name:URRUTIA
Suffix:
Gender:F
Credentials:NURSE MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 CAMPUS DR STE E
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-4376
Mailing Address - Country:US
Mailing Address - Phone:559-584-0668
Mailing Address - Fax:
Practice Address - Street 1:355 CAMPUS DR
Practice Address - Street 2:SUITE E
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4310
Practice Address - Country:US
Practice Address - Phone:559-584-0668
Practice Address - Fax:559-584-1071
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1837367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife