Provider Demographics
NPI:1952352833
Name:WILLITS, ANNE (CNM)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:WILLITS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2236 EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5127
Mailing Address - Country:US
Mailing Address - Phone:303-832-7643
Mailing Address - Fax:
Practice Address - Street 1:2236 EMERSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5127
Practice Address - Country:US
Practice Address - Phone:303-832-7643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO77623163WP1700X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Yes163WP1700XNursing Service ProvidersRegistered NursePerinatal