Provider Demographics
NPI:1396293577
Name:DEPINA, ANNAMARIE (RN)
Entity type:Individual
Prefix:
First Name:ANNAMARIE
Middle Name:
Last Name:DEPINA
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 1:5440 NETHERLAND AVE APT D15
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2320
Mailing Address - Country:US
Mailing Address - Phone:914-954-5115
Mailing Address - Fax:
Practice Address - Street 1:5440 NETHERLAND AVE APT D15
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-2320
Practice Address - Country:US
Practice Address - Phone:914-954-5115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY629881163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse