Provider Demographics
NPI:1871285460
Name:TVEITE, ANNA N (AUD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:N
Last Name:TVEITE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:N
Other - Last Name:SELCHOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1400 E KINCAID ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-4127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:211 S 13TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4107
Practice Address - Country:US
Practice Address - Phone:360-336-2178
Practice Address - Fax:360-336-1995
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD61453852237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter