Rundle, Anna Lovell

Rundle, Anna Lovell is an sole proprietor health care provider with primary practice located at 622 W 168Th St Fl 14 , New York NY 10032-3720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rundle, Anna Lovell can be contacted via phone (212) 305-3000.

Contact Information

Primary practice address
622 W 168Th St Fl 14 New York NY 10032-3720
Phone: (212) 305-3000
Fax: (212) 305-4343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NJ00388100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382114 New York

Profile Details

NPI number 1891010518
LBN Legal business name Rundle, Anna Lovell
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2010
Last updated Apr 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891010518 NPPES
New York MEDICAID 03281683

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