Provider Demographics
NPI:1295117471
Name:YERKES, ANNAMARIE (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ANNAMARIE
Middle Name:
Last Name:YERKES
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 AMERICAN AVE
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-3120
Mailing Address - Country:US
Mailing Address - Phone:631-576-9546
Mailing Address - Fax:
Practice Address - Street 1:777 NORTH ST STE 207
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4123
Practice Address - Country:US
Practice Address - Phone:413-499-8500
Practice Address - Fax:413-499-8553
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2351562363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner