Provider Demographics
NPI:1982846713
Name:BARONE, ANNETTE ROSE (RN)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:ROSE
Last Name:BARONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:ROSE
Other - Last Name:LABRUZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:489 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-4141
Mailing Address - Country:US
Mailing Address - Phone:631-289-6629
Mailing Address - Fax:
Practice Address - Street 1:489 GROVE AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-4141
Practice Address - Country:US
Practice Address - Phone:631-289-6629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2876281163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse