Healthcare Provider Details

I. General information

NPI: 1679520118
Provider Name (Legal Business Name): ANN MARIE SAMMARTINO COL, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER ANESTHESIA SERVICE, CMR 402
APO AE
09180
US

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER ATTN: MCEUL-DCCS (CREDENTIALS), CMR 402
APO AE
09180
US

V. Phone/Fax

Practice location:
  • Phone: 0011496371868109
  • Fax:
Mailing address:
  • Phone: 011496371868839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number158160
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number041974
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: