Provider Demographics
NPI:1467594705
Name:OAKES, ANNA GAIL (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:GAIL
Last Name:OAKES
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 FORD ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-1619
Mailing Address - Country:US
Mailing Address - Phone:315-393-6544
Mailing Address - Fax:315-393-9061
Practice Address - Street 1:419 FORD ST
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-1619
Practice Address - Country:US
Practice Address - Phone:315-393-6544
Practice Address - Fax:315-393-9061
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420424-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00583697Medicaid