National Provider Identifier

Annie E Sumrall, PPCMHNP

Annie E Sumrall, PPCMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Elmira, NY and a listed phone number of (607) 737-7012.

NPI 1649821067Elmira, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1649821067
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
September 26, 2019
Last Updated
April 16, 2025

Practice Location

  • 571 Saint Josephs Blvd Ste 304
  • Elmira, NY 14901-3234

Phone: (607) 737-7012

Mailing Address

  • 600 Ivy St Ste 206
  • Elmira, NY 14905-1627

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
  • Pediatric Nurse Practitioner (363LP0200X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1649821067
Entity Type
Individual
Last Name
Sumrall
First Name
Annie
Middle Name
E
Credential
PPCMHNP
Mailing Street Address
600 Ivy St Ste 206
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1627
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 271-2071
Practice Street Address
571 Saint Josephs Blvd Ste 304
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3234
Practice Country
US
Practice Phone
(607) 737-7012
Practice Fax
(607) 733-5594
Enumeration Date
September 26, 2019
Last Updated
April 16, 2025
Sex
Female
Sole Proprietor
No
Certification Date
April 16, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Pediatric Nurse Practitioner (363LP0200X), Registered Nurse (163W00000X)