Provider Demographics
NPI:1376814640
Name:DENIS, ANNE MARIE (NP)
Entity Type:Individual
Prefix:MS
First Name:ANNE MARIE
Middle Name:
Last Name:DENIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 PAERDEGAT 5TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4138
Mailing Address - Country:US
Mailing Address - Phone:917-602-6169
Mailing Address - Fax:718-444-6587
Practice Address - Street 1:506 LENOX AVE RM MLK 6227
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-1000
Practice Address - Fax:212-939-2195
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF336968-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily