Provider Demographics
NPI:1407516057
Name:NOSETTI, ANNA BARRY (ND)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:BARRY
Last Name:NOSETTI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:BARRY
Other - Last Name:COWSERT-HINRICHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:1200 116TH AVE NE STE C
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3802
Mailing Address - Country:US
Mailing Address - Phone:425-451-0404
Mailing Address - Fax:833-371-1483
Practice Address - Street 1:1200 116TH AVE NE STE C
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3802
Practice Address - Country:US
Practice Address - Phone:425-451-0404
Practice Address - Fax:833-371-1483
Is Sole Proprietor?:No
Enumeration Date:2021-12-22
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT61249760175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WANT61249760OtherWA STATE NATUROPATHIC PHYSICIAN LICENSE
WA2241577Medicaid