Athalie Anjou, rn
Nurse Practitioner, Family in Middletown, NY. Individual provider (NPI-1).
NPI number1316249634
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1316249634
- Entity type
- Individual (NPI-1)
- Name
- Athalie Anjou
- Credential
- rn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2010
- Certification date
- Nov 19, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 346849 | NY | Yes |
| 363LF0000X | Nurse Practitioner, Family | 3468649 | NY |
Practice location
707 E Main StMiddletown, NY 10940-2650
Phone 845-333-7575 · Fax 845-333-7139
Mailing address
707 E Main StMiddletown, NY 10940-2650
Phone 845-333-7575 · Fax 845-333-7139
Other practice locations
38 Concord Rd
Monticello, NY 12701-3210
Monticello, NY 12701-3210
Phone 845-333-6500 · Fax 845-333-6501
102 Clowes Ave
Goshen, NY 10924-1956
Goshen, NY 10924-1956
Phone 845-333-7200 · Fax 845-333-7208
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