Doctor Name: | ELAINE RUTH ANTHONY |
NPI Number: | 1013198969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN PHN BSN |
License Number: | 536556 |
Business Practice Address: | 1800 Mount Vernon Ave Bakersfield, CA - 933063302 |
Business Phone Number: | 6618680502 |
Business Fax Number: | 6618680218 |
Mailing Address: | 1800 Mount Vernon Ave, BAKERSFIELD |
State: | CA |
Postal Code: | 933063302 |
Phone Number: | 6617467562 |
Fax Number: | 6617467591 |
NPI Enumeration Date: | 11/20/2007 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 536556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |