Healthcare Provider Details

I. General information

NPI: 1740634708
Provider Name (Legal Business Name): ANEASHA WARFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 04/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1583 ESTABROOK AVE NW
WARREN OH
44485-1934
US

IV. Provider business mailing address

1583 ESTABROOK AVE NW
WARREN OH
44485-1934
US

V. Phone/Fax

Practice location:
  • Phone: 330-219-8895
  • Fax:
Mailing address:
  • Phone: 330-219-8995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: