Provider Demographics
NPI:1669721023
Name:JUNGERMANN, ABBIE L (CRNA)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:L
Last Name:JUNGERMANN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ABBIE
Other - Middle Name:LYNN
Other - Last Name:FRANKART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 CATHARINE STREET
Mailing Address - Street 2:MID-HUDSON ANESTHESIOLOGISTS, PC
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12602
Mailing Address - Country:US
Mailing Address - Phone:866-885-2318
Mailing Address - Fax:845-790-2675
Practice Address - Street 1:70 DUBOIS STREET
Practice Address - Street 2:ST LUKES/ CORNWALL HOSPITAL
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550
Practice Address - Country:US
Practice Address - Phone:845-561-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR200409367500000X
NY618232-1367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered