Most Relevant Information
Provider Data
| NPI Number: | 1003391483 |
| Provider Name: | ANN-MARIE CIVIL FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F343206-01 |
Most Important Dates
| Enumeration Date: | 10/01/2018 |
| Last Updated: | 10/21/2022 |
Provider Practice Location
19432 111TH AVE
SAINT ALBANS
NY
114122014
Practice Location Phone/Fax
| Phone: | 6466916477 |
| Fax: |
Provider Mailing Location
19432 111TH AVE
SAINT ALBANS
NY
114122014
Provider Mailing Phone/Fax
| Phone: | 6466916477 |
| Fax: |