Provider Demographics
NPI:1376258145
Name:WOMACK, ANNA RUTH (PA-C)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:RUTH
Last Name:WOMACK
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1062 S K ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-6422
Mailing Address - Country:US
Mailing Address - Phone:559-741-8445
Mailing Address - Fax:559-741-8446
Practice Address - Street 1:1062 S K ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-6422
Practice Address - Country:US
Practice Address - Phone:559-741-8445
Practice Address - Fax:559-741-8446
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2025-02-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant