Provider Demographics
NPI:1598565368
Name:O'BRIEN, ANNEMARIE ELIZABETH
Entity type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:ELIZABETH
Last Name:O'BRIEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 THORNYCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-5626
Mailing Address - Country:US
Mailing Address - Phone:347-236-2576
Mailing Address - Fax:
Practice Address - Street 1:314 THORNYCROFT AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-5626
Practice Address - Country:US
Practice Address - Phone:347-236-2576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY887679-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse