Individual
MISS ANNIE ELAINE NUNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3400
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8318
(907) 966-8749
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00848
OR
363AM0700X
Medical Physician Assistant
PADA894
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666081
—
AK
Enumeration date
05/22/2006
Last updated
10/11/2024
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