Provider Demographics
NPI:1043814361
Name:STEVENS, ANNE (DACM, LAC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DACM, LAC
Mailing Address - Street 1:3613 S SARATOGA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5821
Mailing Address - Country:US
Mailing Address - Phone:504-345-8492
Mailing Address - Fax:
Practice Address - Street 1:3613 S SARATOGA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5821
Practice Address - Country:US
Practice Address - Phone:504-345-8492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA321267171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty