Provider Demographics
NPI:1619498128
Name:KRAKOWSKI, ANNA (MSN,AGPCNP-BC, ACHPN)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:KRAKOWSKI
Suffix:
Gender:F
Credentials:MSN,AGPCNP-BC, ACHPN
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:KRAKOWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN,AGPCNP-BC, ACHPN
Mailing Address - Street 1:7137 70TH ST APT C
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-7245
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LOWER MANHATTAN HOSPITAL
Practice Address - Street 2:170 WILLIAM STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2612
Practice Address - Country:US
Practice Address - Phone:718-781-8801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF308112363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology