MEDICARE: ANNE LOUISE SMALLEN

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	171100000X	Acupuncturist	U01678	MD

General Provider Information

NPI Number	:	1619127149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE LOUISE SMALLEN

Provider Business Mailing Address
First Line	:	12422 NEW HAMPSHIRE AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2958
Country	:	US
Telephone Number	:	240-994-1789
Fax Number	:

Provider Business Practice Location Address
First Line	:	8555 16TH ST STE 402
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2802
Country	:	US
Telephone Number	:	240-994-1789
Fax Number	:

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

Provider Enumeration Date	:	09/20/2008
Last Update Date	:	09/20/2008

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Directions to “ ANNE LOUISE SMALLEN ” Practice Location

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