Provider Demographics
NPI:1710442868
Name:GARNSEY, ANNE MARIE J (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:J
Last Name:GARNSEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ANNE MARIE
Other - Middle Name:JACQUELINE
Other - Last Name:TARDIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 INDIAN LEDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGVALE
Mailing Address - State:ME
Mailing Address - Zip Code:04083-1413
Mailing Address - Country:US
Mailing Address - Phone:207-651-4397
Mailing Address - Fax:
Practice Address - Street 1:1 LAYMAN WAY
Practice Address - Street 2:
Practice Address - City:ALFRED
Practice Address - State:ME
Practice Address - Zip Code:04002-3536
Practice Address - Country:US
Practice Address - Phone:207-459-2297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP181203363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily