Provider Demographics
NPI:1336155969
Name:SIPLE, ANNE I (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:I
Last Name:SIPLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 BIGHORN RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3480
Mailing Address - Country:US
Mailing Address - Phone:970-229-9800
Mailing Address - Fax:970-229-1421
Practice Address - Street 1:2025 BIGHORN RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525
Practice Address - Country:US
Practice Address - Phone:970-229-9800
Practice Address - Fax:970-229-1421
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO47021207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1336155969OtherROCKY MOUNTAIN HMO
CO264189163OtherCHAMPUS
CO88502066Medicaid
CO1336155969OtherROCKY MOUNTAIN HMO
COCOB4480Medicare UPIN