Healthcare Provider Details

I. General information

NPI: 1235673104
Provider Name (Legal Business Name): ANNA ARTHEN ND, PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 03/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 NORTHAMPTON ST
EASTHAMPTON MA
01027
US

IV. Provider business mailing address

8 KAREN CIR
EASTHAMPTON MA
01027-1914
US

V. Phone/Fax

Practice location:
  • Phone: 413-370-2692
  • Fax:
Mailing address:
  • Phone: 413-370-2692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099.0134070
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0128582
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH233696
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0012489
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: