Healthcare Provider Details

I. General information

NPI: 1740117795
Provider Name (Legal Business Name): MRS. ANITA LYNN OREN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. ANITA LYNN RICHARDS

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 HILLSIDE AVE
SPRINGFIELD OH
45503-5041
US

IV. Provider business mailing address

5107 TROY RD
SPRINGFIELD OH
45502-8151
US

V. Phone/Fax

Practice location:
  • Phone: 937-505-4442
  • Fax:
Mailing address:
  • Phone: 937-631-7785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN344356
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: