Provider Demographics
NPI:1801060769
Name:RIAN, ANNMARIE IDA (CPM, LM)
Entity type:Individual
Prefix:MS
First Name:ANNMARIE
Middle Name:IDA
Last Name:RIAN
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 FARRELL ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53714-2260
Mailing Address - Country:US
Mailing Address - Phone:608-205-7488
Mailing Address - Fax:608-821-0124
Practice Address - Street 1:6720 FRANK LLOYD WRIGHT AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-1753
Practice Address - Country:US
Practice Address - Phone:608-821-0123
Practice Address - Fax:608-821-0124
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife