Provider Demographics
NPI:1033981394
Name:CHAMBERLAIN, ANNA MARIE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8579 COMMERCE DR STE 104
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-7420
Mailing Address - Country:US
Mailing Address - Phone:410-822-9133
Mailing Address - Fax:410-822-9513
Practice Address - Street 1:8579 COMMERCE DR STE 104
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7420
Practice Address - Country:US
Practice Address - Phone:410-822-9133
Practice Address - Fax:410-822-9513
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR165825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily