Individual
ATHALIE ANJOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7139
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
(845) 333-7139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
346849
NY
363LF0000X
Family Nurse Practitioner
3468649
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
633177
REGISTERED NURSE
NY
Enumeration date
11/18/2010
Last updated
11/19/2021
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