Provider Demographics
NPI:1528319647
Name:CHA, ANNA MARIE
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIE
Last Name:CHA
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 1:7401 WADE CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-2048
Mailing Address - Country:US
Mailing Address - Phone:907-336-0284
Mailing Address - Fax:
Practice Address - Street 1:7401 WADE CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-2048
Practice Address - Country:US
Practice Address - Phone:907-336-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula