Individual
ANNAGRACE ELIZABETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
1450 5TH ST SE STE 3200, PUYALLUP, WA 98372-4689
(253) 697-3550
Mailing address
614 N PROCTOR ST, TACOMA, WA 98406-4932
(252) 714-2337
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
61474578
WA
Other
Enumeration date
08/25/2023
Last updated
10/10/2023
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