Provider Demographics
NPI:1336925254
Name:ANUCHA, KRISTEN EILEEN (WHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:EILEEN
Last Name:ANUCHA
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11307 FULBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-7002
Mailing Address - Country:US
Mailing Address - Phone:610-733-8175
Mailing Address - Fax:661-637-1020
Practice Address - Street 1:3941 SAN DIMAS ST STE 104
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5711
Practice Address - Country:US
Practice Address - Phone:661-637-1006
Practice Address - Fax:661-637-1020
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95026930363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health