Provider Demographics
NPI:1417171463
Name:WALSH, ANNE FRANCES (NP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:FRANCES
Last Name:WALSH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 BROADWAY
Mailing Address - Street 2:7TH FLOOR (VNSNY HOSPICE AND PALLIATIVE CARE)
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3701
Mailing Address - Country:US
Mailing Address - Phone:212-609-1920
Mailing Address - Fax:212-290-5367
Practice Address - Street 1:1250 BROADWAY
Practice Address - Street 2:7TH FL (VNSNY HOSPICE & PALLIATIVE CARE)
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3701
Practice Address - Country:US
Practice Address - Phone:212-609-1920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30374901363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY30374901OtherNYS LICENSE
NY30374901OtherNYS LICENSE