Provider Demographics
NPI:1811277502
Name:POLLACK, ANN MARIE (CD)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:POLLACK
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10548 W CHAUTAUGA MTN
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3858
Mailing Address - Country:US
Mailing Address - Phone:303-932-1449
Mailing Address - Fax:303-932-2024
Practice Address - Street 1:10548 W CHAUTAUGA MTN
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3858
Practice Address - Country:US
Practice Address - Phone:303-932-1449
Practice Address - Fax:303-932-2024
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula