Healthcare Provider Details

I. General information

NPI: 1508175001
Provider Name (Legal Business Name): ANNA MARIA POUCHET N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2010
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11920 NE 195TH ST SUITE 516
BOTHELL WA
98011-3147
US

IV. Provider business mailing address

6121 NE 175TH ST APT C204
KENMORE WA
98028-4849
US

V. Phone/Fax

Practice location:
  • Phone: 347-416-4421
  • Fax: 425-485-2247
Mailing address:
  • Phone: 347-416-4421
  • Fax: 425-485-2247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT 60172450
License Number StateWA

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: