Provider Demographics
NPI:1982384293
Name:PATERSON, ANNE (IBCLC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:PATERSON
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33639 INVERNESS DR
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-8844
Mailing Address - Country:US
Mailing Address - Phone:202-299-4868
Mailing Address - Fax:
Practice Address - Street 1:33639 INVERNESS DR
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-8844
Practice Address - Country:US
Practice Address - Phone:202-299-4868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
L-311025174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula