Provider Demographics
NPI:1548692585
Name:DAGGETT, ANNE M (APN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:DAGGETT
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:FREUDENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-467-6789
Mailing Address - Fax:319-467-6600
Practice Address - Street 1:3640 MIDDLEBURY RD
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2712
Practice Address - Country:US
Practice Address - Phone:319-467-6789
Practice Address - Fax:319-467-6600
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA155272363L00000X, 363LF0000X
CO0991856363LF0000X
CO1619038163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse