Provider Demographics
NPI:1609868579
Name:ALBIEZ, ANNE CATHERINE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:CATHERINE
Last Name:ALBIEZ
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HOT SPRINGS TER
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-5619
Mailing Address - Country:US
Mailing Address - Phone:609-698-0455
Mailing Address - Fax:732-785-3296
Practice Address - Street 1:1500 ROUTE 88 W
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-2320
Practice Address - Country:US
Practice Address - Phone:732-376-1700
Practice Address - Fax:732-785-3296
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400243-1363L00000X
NJ26NJ00092500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01777655Medicaid
NYF400243-1OtherNP LICENSE
NJ26NJ00092500OtherADVANCE PRACTOCE NURSE
NYF400243-1OtherNP LICENSE
NJ26NJ00092500OtherADVANCE PRACTOCE NURSE
NJ26NJ00092500OtherADVANCE PRACTOCE NURSE
R01281Medicare ID - Type Unspecified