MS. AILEEN M ANOM NP
NPI 1376531723
Nurse Practitioner - Family in Tucker, GA

Q: What is Aileen Anom's NPI number?

The NPI number for Aileen Anom is 1376531723. It was assigned to this individual provider in the NPPES registry on October 10, 2005. The provider is also known as Aileen M Wideman Np.

Q: What is Aileen Anom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Aileen Anom was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2005

200 CRESCENT CENTER PARKWAY, KAISER PERMANENTE CRESCENT MEDICAL CENTER, TUCKER, GA 30084(770) 496-3414 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2022, Feb 17, 2017 (2 updates tracked since 2017).

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About Ms. Aileen M Anom Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AILEEN M ANOM NP (NPI 1376531723) is an individual family provider in Tucker, Georgia, licensed in Georgia (RN113842) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1376531723

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. AILEEN M ANOMCredential: NP

Location Address200 CRESCENT CENTER PARKWAY, KAISER PERMANENTE CRESCENT MEDICAL CENTERTucker, GA 30084

Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305 · (404) 504-5678

Phone(770) 496-3414

Sole ProprietorNo

Enumeration DateOctober 10, 2005

Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2022

✔ NPI 1376531723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN113842

200 CRESCENT CENTER PARKWAY, Tucker, GA 30084

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Other Names 1

Former Name (1)Aileen M Wideman Np

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NEENA DESAI GHOSE MD

Family Medicine

200 CRESCENT CENTER PARKWAY, KAISER PERMANENTE CRESCENT MEDICAL CENTER
TUCKER, GA 30084

Dekalb County (770) 496-3414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aileen Anom's NPI number?

The NPI number for Aileen Anom is 1376531723. It was assigned to this individual provider in the NPPES registry on October 10, 2005. The provider is also known as Aileen M Wideman Np.

Where is Aileen Anom located?

Aileen Anom practices at 200 Crescent Center Parkway Kaiser Permanente Crescent Medical Center, Tucker, GA 30084. The listed phone number is (770) 496-3414.

What is Aileen Anom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Aileen Anom was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.