Provider Demographics
NPI:1548501968
Name:GITCHEL, ANNE MARIE (ANP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:GITCHEL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:606 OAKESDALE AVE SW STE C200
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5227
Mailing Address - Country:US
Mailing Address - Phone:866-259-1629
Mailing Address - Fax:
Practice Address - Street 1:606 OAKESDALE AVE SW STE C200
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057
Practice Address - Country:US
Practice Address - Phone:206-508-0197
Practice Address - Fax:855-666-8541
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704290995363LA2200X
WAAP60407635363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health