Provider Demographics
NPI:1750786638
Name:BARNES, ANNE GRANBERY (CPNP, RN, CCRN)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:GRANBERY
Last Name:BARNES
Suffix:
Gender:F
Credentials:CPNP, RN, CCRN
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:NICHOLS
Other - Last Name:GRANBERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:BOX 1201
Mailing Address - Street 2:1 GUSTAVE L. LEVY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-8662
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L. LEVY PLACE
Practice Address - Street 2:BOX 1201
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-8662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382471363LP0200X
NY616266163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse