Doctor Name: | SUSAN BETH ANTHONY |
NPI Number: | 1225002959 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0001079488 |
Business Practice Address: | 307 Cook Rd Yorktown, VA - 236909640 |
Business Phone Number: | 7578987261 |
Business Fax Number: | 7578900139 |
Mailing Address: | 100 Matoaka Turn, YORKTOWN |
State: | VA |
Postal Code: | 236932735 |
Phone Number: | 7577662866 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0001079488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |