Provider Demographics
NPI:1033464631
Name:SYMES, ANNETTE MARIE
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:MARIE
Last Name:SYMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 RIDGEWOOD LN APT 19
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-2041
Mailing Address - Country:US
Mailing Address - Phone:978-821-1548
Mailing Address - Fax:
Practice Address - Street 1:75 RIDGEWOOD LN APT 19
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-2041
Practice Address - Country:US
Practice Address - Phone:978-821-1548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator