Doctor Name: | DR. ANNA M RIBICH |
NPI Number: | 1033526975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP, ARNP, FNP |
License Number: | AP60427015 |
Business Practice Address: | 140 E Main St Othello, WA - 993441040 |
Business Phone Number: | 5094885256 |
Business Fax Number: | |
Mailing Address: | 140 E Main St, OTHELLO |
State: | WA |
Postal Code: | 993441040 |
Phone Number: | 9209175664 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2014 |
NPI Last Update Date: | 07/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP60427015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |