Provider Demographics
NPI:1437797701
Name:PRATT, ANNE MARIE (APRN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:PRATT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3882 SW 133RD LOOP
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-7997
Mailing Address - Country:US
Mailing Address - Phone:352-598-0308
Mailing Address - Fax:
Practice Address - Street 1:3882 SW 133RD LOOP
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473-7997
Practice Address - Country:US
Practice Address - Phone:352-598-0308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005394207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine