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Ms. Anne C Retallick, FNP
General Practice Registered Nurse in Willits, California
NPI 1144315730

Anne C Retallick is a General Practice Registered Nurse based in Ukiah, CA and is specialized in General Practice. Anne C Retallick practices in Willits, CA and has the professional credentials of FNP. The NPI Number for Anne C Retallick is 1144315730 and holds a License No. 358288 10493 (California).

The current practice location address for Anne C Retallick is 1 Madrone St, Willits, CA and can be reached out via phone at 707-459-6801.

Location: 1 Madrone St, Willits, CA, 95482
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144315730
Provider Name
Anne C Retallick
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1 Madrone St, Willits, CA, 95482
Phone Number
707-459-6801
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10493 01 CA RN NP FURNISHING
institution
Provider Business Practice Location Address Details
Address
1 Madrone St
City
Willits
State
California
Zip
95490-4225
Phone Number
707-459-6801
Fax Number
person
Provider Business Mailing Address Details
Address
1 Madrone St
City
Willits
State
California
Zip
95490-4225
Phone Number
707-459-6801
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
358288 10493 (California)
Definition
Definition to come...
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