Provider Demographics
NPI:1518507763
Name:NAVAROLI, ANNE C (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:C
Last Name:NAVAROLI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 WALBERTA RD.
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13219
Mailing Address - Country:US
Mailing Address - Phone:315-426-3220
Mailing Address - Fax:315-426-3224
Practice Address - Street 1:400 WALBERTA RD.
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13219
Practice Address - Country:US
Practice Address - Phone:315-426-3220
Practice Address - Fax:315-426-3224
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY720867-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse