Healthcare Provider Details

I. General information

NPI: 1922453596
Provider Name (Legal Business Name): ANNE BERKELEY ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 07/13/2024
Certification Date: 07/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 CONNECTICUT AVE NW STE 1000
WASHINGTON DC
20036-5417
US

IV. Provider business mailing address

4115 25TH ST N
ARLINGTON VA
22207-3938
US

V. Phone/Fax

Practice location:
  • Phone: 202-798-0221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberJ0000058
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND2200062
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: