Provider Demographics
NPI:1679313043
Name:POOLE, ANNEMARIE GILSENAN (NP)
Entity type:Individual
Prefix:MRS
First Name:ANNEMARIE
Middle Name:GILSENAN
Last Name:POOLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ANNEMARIE
Other - Middle Name:GILSENAN
Other - Last Name:HURTUBISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:125 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2594
Mailing Address - Country:US
Mailing Address - Phone:607-433-1790
Mailing Address - Fax:
Practice Address - Street 1:125 MAIN ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2507
Practice Address - Country:US
Practice Address - Phone:607-433-1790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY354237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily