Provider Demographics
NPI:1477589893
Name:POE, ANN RIVES (OGNP)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:RIVES
Last Name:POE
Suffix:
Gender:F
Credentials:OGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 EAST ST.
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312
Mailing Address - Country:US
Mailing Address - Phone:919-542-8220
Mailing Address - Fax:919-542-2473
Practice Address - Street 1:80 EAST ST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-5761
Practice Address - Country:US
Practice Address - Phone:919-542-8220
Practice Address - Fax:919-542-2473
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC800100363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health