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Individual

ANNE S CARLISLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
525 2ND ST, SUITE 219, EUREKA, CA 95501-5107
(707) 444-1331
(707) 444-1369
Mailing address
2107 AIRPARK DR, REDDING, CA 96001-2433
(530) 241-7098
(530) 241-1483

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP8560
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP8560
FNP LICENSE NUMBER
CA
Enumeration date
06/24/2005
Last updated
03/25/2013
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