Doctor Name: | MRS. ANN MARIE LUKE |
NPI Number: | 1396889895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN PHN FNP |
License Number: | 374579 |
Business Practice Address: | 6 Tarman Dr Cloverdale, CA - 954253932 |
Business Phone Number: | 7078944229 |
Business Fax Number: | 7078942954 |
Mailing Address: | 475 Pomo Dr, UKIAH |
State: | CA |
Postal Code: | 954825153 |
Phone Number: | 7074630954 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 374579 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |