Provider Demographics
NPI:1225314420
Name:RAMCHARRAN, ANNETA CREPAU (FNP, MSN,CCRN)
Entity type:Individual
Prefix:MRS
First Name:ANNETA
Middle Name:CREPAU
Last Name:RAMCHARRAN
Suffix:
Gender:F
Credentials:FNP, MSN,CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1434 WILLIAMSBRIDGE RD FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2507
Mailing Address - Country:US
Mailing Address - Phone:718-618-0401
Mailing Address - Fax:347-479-1303
Practice Address - Street 1:1855 MOTT AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4201
Practice Address - Country:US
Practice Address - Phone:718-868-8282
Practice Address - Fax:718-471-2865
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF337012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily