Provider Demographics
NPI:1548249709
Name:ANCHORDOGUY, ROSALIE ANN (CNM)
Entity type:Individual
Prefix:MS
First Name:ROSALIE
Middle Name:ANN
Last Name:ANCHORDOGUY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24250 STRING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WILLITS
Mailing Address - State:CA
Mailing Address - Zip Code:95490-9244
Mailing Address - Country:US
Mailing Address - Phone:707-459-4405
Mailing Address - Fax:
Practice Address - Street 1:716 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLITS
Practice Address - State:CA
Practice Address - Zip Code:95490-3914
Practice Address - Country:US
Practice Address - Phone:707-459-4405
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA188367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANMW001880Medicaid