Provider Demographics
NPI:1306942917
Name:MENZIES, ANNE B (RN,NP)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:B
Last Name:MENZIES
Suffix:
Gender:F
Credentials:RN,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22212 SHADE TREE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-3321
Mailing Address - Country:US
Mailing Address - Phone:949-830-2468
Mailing Address - Fax:
Practice Address - Street 1:26302 LA PAZ RD
Practice Address - Street 2:206
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5313
Practice Address - Country:US
Practice Address - Phone:949-768-3643
Practice Address - Fax:949-768-5660
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250066363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health