Provider Demographics
NPI:1265584593
Name:KRIEBEL, ANN M (APN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:KRIEBEL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-342-2439
Mailing Address - Fax:856-342-7832
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 215
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2439
Practice Address - Fax:856-342-7832
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ00114200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
45571OtherUNIVERSITY HEALTHPLAN
2754661OtherUNITED HEALTHCARE
60032518OtherHORIZON NJ HEALTH
3K6372OtherHEALTHNET
010078198OtherAMERICHOICE
P3737099OtherOXFORD
NJ0126586Medicaid
3K6372OtherHEALTHNET