Provider Type Icon

ANNE MARIE PRENTICE MD NPI 1902877236


NPI Profile

NPI: 1902877236
Provider Name: ANNE MARIE PRENTICE, MD
Classification:Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: UNIVERSITY FACULTY ASSOCIATES INC

PECOS Registration: Yes

Address:
1247 E ALLUVIAL AVE STE 101
FRESNO, CA
ZIP 93720
Get Directions

Phone: (559) 431-6226

Anne Marie Prentice, MD is a vascular surgery surgery in Fresno, CA with 27 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Anne Marie Prentice, MD NPI is 1902877236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1994

The provider's business location address is:

1247 E ALLUVIAL AVE STE 101
FRESNO, CA
ZIP 93720-686
Phone: (559) 431-6226
Fax: (559) 440-9005

The NPI 1902877236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2006 and was last updated on 11/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA60257CALIFORNIANo
22086S0129XSurgeryVascular SurgeryA60257CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A602570OTHERCALIFORNIAMEDI-CAL
2020045926OTHERCALIFORNIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.