Desta Rowena Anthony ANP

NPI 1093721102 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1093721102
Gender Female
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
124 RUGBY RD
SYRACUSE NY, 13206-3225, US
Phone (315) 437-1693
Fax (315) 437-1831
Business Location
124 RUGBY RD
SYRACUSE NY, 13206-3225, US
Phone (315) 437-1693
Fax (315) 437-1831
Toxanomy
Taxonomy Code 363LA2200X
License State New York
License Number F303332
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According to our database, Desta Rowena Anthony ANP NPI is 1093721102, taxonomy code is 363LA2200X and license number is F303332, license state is located at New York. Desta Rowena Anthony ANP physically located at 124 Rugby Rd, Syracuse NY, 13206-3225. NPI Number Desta Rowena Anthony ANP has the Individual type.

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1093721102 NPI number is provided on an as is basis without warranty of any kind. 1093721102 is maintained by the National Plan & Provider Enumeration System. The contents of Desta Rowena Anthony ANP are for informational purposes only.