Provider Demographics
NPI:1467791590
Name:BARAN, ANNMARIE CHRISTINE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:ANNMARIE
Middle Name:CHRISTINE
Last Name:BARAN
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:ANNMARIE
Other - Middle Name:CHRISTINE
Other - Last Name:BARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:520 LINDSEY DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2339
Mailing Address - Country:US
Mailing Address - Phone:610-360-6471
Mailing Address - Fax:
Practice Address - Street 1:1068 W BALTIMORE PIKE OFC
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5104
Practice Address - Country:US
Practice Address - Phone:610-360-6471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-09
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012479363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232359401OtherMAIN LINE HEALTHCARE TAX ID