| Doctor Name: | MARY NELL ANKER |
| NPI Number: | 1568451383 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 200950121NP |
| Business Practice Address: | 110 10th St Se Bandon, OR - 974119157 |
| Business Phone Number: | 5413472313 |
| Business Fax Number: | 5413472015 |
| Mailing Address: | 110 10th St Se, BANDON |
| State: | OR |
| Postal Code: | 974119157 |
| Phone Number: | 5413472313 |
| Fax Number: | 5413472015 |
| NPI Enumeration Date: | 10/14/2005 |
| NPI Last Update Date: | 05/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 200950121NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |