MEDICARE: ANN B LETTES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	19448	AZ
2	2084P0800X	Psychiatry Physician	19448	AZ

General Provider Information

NPI Number	:	1538156054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN B LETTES M.D.

Provider Business Mailing Address
First Line	:	6837 N ORACLE RD
Second Line	:	UNIT 14
City	:	TUCSON
State	:	AZ
Zip	:	85704-4222
Country	:	US
Telephone Number	:	520-297-7001
Fax Number	:	520-297-7002

Provider Business Practice Location Address
First Line	:	6837 N ORACLE RD
Second Line	:	UNIT 14
City	:	TUCSON
State	:	AZ
Zip	:	85704-4222
Country	:	US
Telephone Number	:	520-297-7001
Fax Number	:	520-297-7002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	10/25/2007

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Directions to “ ANN B LETTES M.D.” Practice Location

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