Michelle Dezura Anthony in Salem - Adult Health
Michelle Dezura Anthony - NPI 1649314220
Michelle Dezura Anthony is a Adult Health in Salem, Oregon. Michelle Dezura Anthony practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Michelle Dezura Anthony is 1649314220. The last update date is 2022-03-10.
Michelle Dezura Anthony's current location address is 5125 Skyline Rd S, Salem, Oregon. You can contact this provider via phone number 5033154663. The mailing address for Michelle Dezura Anthony is 5125 Skyline Rd S, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Dezura Anthony |
|---|---|
| Address | 5125 Skyline Rd S, Salem, Oregon |
| Phone Number | 5033154663 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1649314220 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2022-03-10 |
Provider Mailing Address Detail
| Address | 5125 Skyline Rd S |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973069413 |
| Phone Number | 5033154663 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | AP60436588 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 754042 | MS | -- | |
| 1013889 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michelle Dezura Anthony by the Centers for Medicare & Medicaid Services?
The Michelle Dezura Anthony has been issued the NPI (National Provider Identifier) 1649314220 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Michelle Dezura Anthony is physically located?
The Michelle Dezura Anthony is physically situated at the following address: 5125 Skyline Rd S, Salem, OR, 973069413.
What is Michelle Dezura Anthony's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michelle Dezura Anthony is Adult Health, and the taxonomy code that categorizes this field of expertise is 363La2200X.
On what date did the Michelle Dezura Anthony receive the assignment of its 1649314220 from the Centers for Medicare & Medicaid Services?
The Michelle Dezura Anthony was issued its 1649314220 by the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date was the information pertaining to Michelle Dezura Anthony, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michelle Dezura Anthony, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-10.
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