Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 15390 | NH |
Y | 207VX0201X | Gynecologic Oncologist | ME113651 | FL |
NPI | 1386765501 |
---|---|
Provider Name | Dr. Anna M. Priebe |
First Address | Jacksonville, FL 32256-6932 |
Second Address | Jacksonville, FL 32204-4753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 11/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005955200 | (05) | FL |
14N1E | FLORIDA BLUE (01) | FL |
GJ396Y | MEDICARE (01) | FL |
P01988091 | RAILROAD MEDICARE (01) | FL |