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Individual
ANN ATHERTON
Active
Individual
ANN ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4012
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1506
—
SC
Enumeration date
04/11/2007
Last updated
08/05/2010
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