Provider Demographics
NPI:1821347113
Name:LALONDE, ANNE MARIE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MARIE
Last Name:LALONDE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-3066
Mailing Address - Country:US
Mailing Address - Phone:315-713-4328
Mailing Address - Fax:315-713-4667
Practice Address - Street 1:404 CEDAR ST
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-3066
Practice Address - Country:US
Practice Address - Phone:315-713-4328
Practice Address - Fax:315-713-4667
Is Sole Proprietor?:No
Enumeration Date:2012-09-03
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337307-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily