MEDICARE: LOU-ANNE ANTHONY

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	363LA2200X	Adult Health Nurse Practitioner	F311971	NY
2	163W00000X	Registered Nurse	293082	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538745948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOU-ANNE ANTHONY

Provider Business Mailing Address
First Line	:	775 LAFAYETTE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-5684
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	775 LAFAYETTE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-5684
Country	:	US
Telephone Number	:	347-229-4302
Fax Number	:

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

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	03/10/2026

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Directions to “ LOU-ANNE ANTHONY ” Practice Location

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