Anthony, Keata Lorraine
Anthony, Keata Lorraine is an individual health care provider with primary practice located at 116 W Main St , Henderson TN 38340-4003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anthony, Keata Lorraine can be contacted via phone (731) 989-0001.Contact Information
Primary practice address
116 W Main St
Henderson TN 38340-4003
Phone: (731) 989-0001
Fax: (731) 989-5151
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN#6159 | Tennessee |
Profile Details
NPI number | 1952351355 |
---|---|
LBN Legal business name | Anthony, Keata Lorraine |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952351355 | NPPES |
Tennessee | Other | 621620777 | TRICARE |
Tennessee | Other | 4052228 | TRICARE |
Tennessee | MEDICAID | 3908653 | TRICARE |
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