| Doctor Name: | MRS. KATIE MICHELLE ANTHONY |
| NPI Number: | 1033456991 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9353737 |
| Business Practice Address: | 204 E Palmetto St Wauchula, FL - 338732732 |
| Business Phone Number: | 8637732111 |
| Business Fax Number: | 8637733946 |
| Mailing Address: | 204 E Palmetto St, WAUCHULA |
| State: | FL |
| Postal Code: | 338732732 |
| Phone Number: | 8637732111 |
| Fax Number: | 8637733946 |
| NPI Enumeration Date: | 01/12/2013 |
| NPI Last Update Date: | 07/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | ARNP9353737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |