Healthcare Provider Details

I. General information

NPI: 1538413125
Provider Name (Legal Business Name): ANYA CARA R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2012
Last Update Date: 11/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 TEWKSBURY RD APARTMENT 3
COLUMBUS OH
43221-4264
US

IV. Provider business mailing address

1995 TEWKSBURY RD APARTMENT 3
COLUMBUS OH
43221-4264
US

V. Phone/Fax

Practice location:
  • Phone: 614-440-2272
  • Fax:
Mailing address:
  • Phone: 614-440-2272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberRN 174985
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: