Provider Demographics
NPI:1255014031
Name:CLARKE, ANNA (CPD CERTIFIED POSTPA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CLARKE
Suffix:
Gender:F
Credentials:CPD CERTIFIED POSTPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 MACINTOSH LANE
Mailing Address - Street 2:
Mailing Address - City:BOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01719
Mailing Address - Country:US
Mailing Address - Phone:617-921-5946
Mailing Address - Fax:
Practice Address - Street 1:64 MACINTOSH LANE
Practice Address - Street 2:
Practice Address - City:BOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01719
Practice Address - Country:US
Practice Address - Phone:617-921-5946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula