Anthony, Codi Marie

Anthony, Codi Marie is an individual health care provider with primary practice located at 6401 Poplar Ave Ste 420 , Memphis TN 38119-4806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Anthony, Codi Marie can be contacted via phone (901) 843-1045.

Contact Information

Primary practice address
6401 Poplar Ave Ste 420 Memphis TN 38119-4806
Phone: (901) 843-1045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A004891 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 29150 Tennessee

Profile Details

NPI number 1326598582
LBN Legal business name Anthony, Codi Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2016
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326598582 NPPES
Arkansas MEDICAID 220185758

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