Provider Demographics
NPI:1932196656
Name:ARNETT, ANA (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:ARNETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 N. ATKINSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88201-7600
Mailing Address - Country:US
Mailing Address - Phone:575-622-7300
Mailing Address - Fax:575-208-7767
Practice Address - Street 1:1915 N. ATKINSON AVE
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-7600
Practice Address - Country:US
Practice Address - Phone:575-622-7300
Practice Address - Fax:575-208-7767
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2002-0302207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM69532753Medicaid
NM1801261714OtherGROUP NPI
NM69532753Medicaid
NMNM301681Medicare PIN