Provider Demographics
NPI:1548870975
Name:DENNING, ANNE MARIE (PA)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:DENNING
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 BLUEFIELD RD STE A
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9626
Mailing Address - Country:US
Mailing Address - Phone:704-360-6500
Mailing Address - Fax:
Practice Address - Street 1:653 BLUEFIELD RD STE A
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9626
Practice Address - Country:US
Practice Address - Phone:704-360-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9113160363A00000X
FL9113160363AM0700X
NC0010-12431363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical