Provider Demographics
NPI:1831774421
Name:NYTES, ANNE ALBRITTON
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:ALBRITTON
Last Name:NYTES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15204 KAYLA ST SE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-6622
Mailing Address - Country:US
Mailing Address - Phone:931-266-3578
Mailing Address - Fax:
Practice Address - Street 1:1415 FAIRCHILDS RD
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:MS
Practice Address - Zip Code:39154-9741
Practice Address - Country:US
Practice Address - Phone:601-488-0220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK113883101YP2500X
MS2684101YP2500X
WA65371510101YM0800X
KY241299101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional