MEDICARE: ANITRA AUSTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1063272631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITRA AUSTIN

Provider Business Mailing Address
First Line	:	1129 S GRAND AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-1613
Country	:	US
Telephone Number	:	517-421-2191
Fax Number	:

Provider Business Practice Location Address
First Line	:	1129 S GRAND AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-1613
Country	:	US
Telephone Number	:	517-421-2191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2024
Last Update Date	:	03/20/2024

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Directions to “ ANITRA AUSTIN ” Practice Location

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