Healthcare Provider Details

I. General information

NPI: 1831363977
Provider Name (Legal Business Name): ANN WORKMAN COOTS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN ELIZABETH WORKMAN PA-C

II. Dates (important events)

Enumeration Date: 04/19/2008
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 TYDD ST
EUREKA CA
95501-1284
US

IV. Provider business mailing address

872 UNION ST
ARCATA CA
95521-6035
US

V. Phone/Fax

Practice location:
  • Phone: 707-441-1624
  • Fax: 707-441-1253
Mailing address:
  • Phone: 415-730-0555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA17075
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: