Healthcare Provider Details

I. General information

NPI: 1326435447
Provider Name (Legal Business Name): ANNE NICHOLS FLYNN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST STE 2500
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

4860 Y ST STE 2500
SACRAMENTO CA
95817-2307
US

V. Phone/Fax

Practice location:
  • Phone: 167-346-9009
  • Fax:
Mailing address:
  • Phone: 167-346-9009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VC0300X
TaxonomyComplex Family Planning Physician
License NumberA173088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: