Provider Demographics
NPI:1033871942
Name:CRIM, ANNA MARIE (WHNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:CRIM
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FT WASHINGTN AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-6837
Mailing Address - Country:US
Mailing Address - Phone:212-923-8550
Mailing Address - Fax:
Practice Address - Street 1:400 FT WASHINGTN AVE APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-6837
Practice Address - Country:US
Practice Address - Phone:212-923-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421509363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health