Individual
MISS ANNA MARIE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2627 REDWING RD STE 300, FORT COLLINS, CO 80526-6310
(970) 631-8650
(833) 909-3959
Mailing address
2627 REDWING RD STE 300, FORT COLLINS, CO 80526-6310
(970) 631-8650
(833) 909-3959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 3603
CO
363A00000X
Physician Assistant
Primary
PA.0003603
CO
363AM0700X
Medical Physician Assistant
3603
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38487705
—
CO
Enumeration date
11/30/2012
Last updated
11/30/2023
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