Individual
JANET AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG1115073
NY
363LG0600X
Gerontology Nurse Practitioner
AG1115073
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
AG1115073
NY
Other
Enumeration date
12/18/2015
Last updated
05/03/2016
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