Provider Demographics
NPI:1487335071
Name:MORRISSETTE, ANNE BENNETT (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:BENNETT
Last Name:MORRISSETTE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-4604
Mailing Address - Country:US
Mailing Address - Phone:804-337-4608
Mailing Address - Fax:
Practice Address - Street 1:6810 TEAGLE LN
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-5386
Practice Address - Country:US
Practice Address - Phone:804-210-1104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2023033856363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health