Provider Demographics
NPI:1083593438
Name:KRACHENFELS, ANNMARIE (RN)
Entity type:Individual
Prefix:
First Name:ANNMARIE
Middle Name:
Last Name:KRACHENFELS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 223RD ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2439
Mailing Address - Country:US
Mailing Address - Phone:516-637-4013
Mailing Address - Fax:
Practice Address - Street 1:4315 223RD ST FL 3
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2439
Practice Address - Country:US
Practice Address - Phone:516-637-4013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298756163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool