Provider Demographics
NPI:1982685079
Name:POHNERT, ANNE MCKEE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MCKEE
Last Name:POHNERT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:MCKEE
Other - Last Name:BOARDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-BC
Mailing Address - Street 1:52 WHITEHALL WAY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-1875
Mailing Address - Country:US
Mailing Address - Phone:508-883-0319
Mailing Address - Fax:
Practice Address - Street 1:272 E CENTRAL ST
Practice Address - Street 2:MINUTECLINIC
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1319
Practice Address - Country:US
Practice Address - Phone:703-424-1302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001168356163W00000X
VA0024167400363LF0000X
MARN2290577163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD082NO100Medicare UPIN
VA142833ZCCUMedicare PIN
NC201385Medicare UPIN