MEDICARE: ANITA ANDERSON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	374U00000X	Home Health Aide
3	372500000X	Chore Provider

General Provider Information

NPI Number	:	1578279196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA ANDERSON

Provider Business Mailing Address
First Line	:	1317 CEDAR AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-3063
Country	:	US
Telephone Number	:	513-972-9291
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 CEDAR AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-3063
Country	:	US
Telephone Number	:	513-972-9291
Fax Number	:

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

Provider Enumeration Date	:	01/26/2023
Last Update Date	:	01/26/2023

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Directions to “ ANITA ANDERSON ” Practice Location

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