Individual
MS. ANNE C RETALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 MADRONE ST, FRANK HOWARD MEMORIAL HOSPITAL, WILLITS, CA 95490-4225
(707) 459-6801
Mailing address
422 SOUTH BARNES STREET, UKIAH, CA 95482
(707) 462-5861
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
358288 10493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10493
RN NP FURNISHING
CA
Enumeration date
10/03/2006
Last updated
07/09/2007
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