Basic Information
| Provider Information | |||||||||
| NPI: | 1851473961 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BLANCHETTE | ||||||||
| FirstName: | ANNE | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2511 M AVE | ||||||||
| Address2: | STE B | ||||||||
| City: | ANACORTES | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982213897 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606757678 | ||||||||
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| Practice Location | |||||||||
| Address1: | 830 SE IRELAND ST | ||||||||
| Address2: | |||||||||
| City: | OAK HARBOR | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982775502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606757678 | ||||||||
| FaxNumber: | 3602790614 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2006 | ||||||||
| LastUpdateDate: | 01/20/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA10003288 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.