Provider Demographics
NPI:1679641500
Name:PIPKIN, ANNETT MARIE (LMT,CRT)
Entity type:Individual
Prefix:MS
First Name:ANNETT
Middle Name:MARIE
Last Name:PIPKIN
Suffix:
Gender:F
Credentials:LMT,CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 NORTHSTAR
Mailing Address - Street 2:#A
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518
Mailing Address - Country:US
Mailing Address - Phone:907-646-2222
Mailing Address - Fax:907-345-2969
Practice Address - Street 1:5401 NORTHSTAR
Practice Address - Street 2:#A
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518
Practice Address - Country:US
Practice Address - Phone:907-646-2222
Practice Address - Fax:907-345-2969
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKMT1056174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist