Provider Demographics
NPI:1932871233
Name:LOEHMER, ANITA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:
Last Name:LOEHMER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1414 S 324TH ST STE B207
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8444
Mailing Address - Country:US
Mailing Address - Phone:253-220-3121
Mailing Address - Fax:415-252-7176
Practice Address - Street 1:1414 S 324TH ST STE B207
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8444
Practice Address - Country:US
Practice Address - Phone:253-220-3121
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP6120869363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2222242Medicaid