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General NPI Number Information
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NPI Number | 1760963532
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Entity Type | Individual
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Provider Name | ANNA WOERTLER CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 9455 CLAIREMONT MESA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1297
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Country | US
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Telephone | 562-260-3971
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Fax |
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Provider Business Mailing Address
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Address Line | 300 14TH ST APT 212
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City | SAN DIEGO
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State | CA
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Zip | 92101-7801
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95009693
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 235973
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License Number State | CA
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