MEDICARE: ANNA GRACE TOPP

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1609687433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA GRACE TOPP

Provider Business Mailing Address
First Line	:	427 COLORADO AVE SW
Second Line	:
City	:	ORANGE CITY
State	:	IA
Zip	:	51041-1640
Country	:	US
Telephone Number	:	616-546-5385
Fax Number	:

Provider Business Practice Location Address
First Line	:	427 COLORADO AVE SW
Second Line	:
City	:	ORANGE CITY
State	:	IA
Zip	:	51041-1640
Country	:	US
Telephone Number	:	616-546-5385
Fax Number	:

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

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	01/20/2025

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Directions to “ ANNA GRACE TOPP ” Practice Location

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