Provider Demographics
NPI:1891298444
Name:MAPLETHORPE, ANNE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MAPLETHORPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4696 WESTON HILLS DR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123-3976
Mailing Address - Country:US
Mailing Address - Phone:608-797-6806
Mailing Address - Fax:
Practice Address - Street 1:4041 CENTRAL AVE NE
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-2900
Practice Address - Country:US
Practice Address - Phone:612-666-0667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst