| Doctor Name: | MRS. ANNA MARIA DOUGLAS |
| NPI Number: | 1073882510 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | APN.0990332-NP |
| Business Practice Address: | 210 5th St Castle Rock, CO - 801042492 |
| Business Phone Number: | 7205040877 |
| Business Fax Number: | |
| Mailing Address: | 19515 Doewood Dr, MONUMENT |
| State: | CO |
| Postal Code: | 801329549 |
| Phone Number: | 7277988100 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2011 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN.0990332-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |