Provider Demographics
NPI:1952681322
Name:DIPIETRO, ANNA MARIE (CRNP)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARIE
Last Name:DIPIETRO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ANN MARIE
Other - Middle Name:
Other - Last Name:DIPIETRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:38 WEST LANCASTER AVE
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335
Mailing Address - Country:US
Mailing Address - Phone:484-739-0615
Mailing Address - Fax:610-500-5693
Practice Address - Street 1:38 WEST LANCASTER AVE
Practice Address - Street 2:BUILDING 2
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335
Practice Address - Country:US
Practice Address - Phone:484-739-0615
Practice Address - Fax:610-500-5693
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011561363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health