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NPI Code Detail

MEDICARE: ANITA M JONES RN

MEDICARE: ANITA M JONES RN
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
1163W00000XRegistered Nurse126154-030WI

General Provider Information

NPI Number : 1710213392
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA M JONES RN
Provider Business Mailing Address
First Line : 3721 W NATIONAL AVE
Second Line : #6
City : MILWAUKEE
State : WI
Zip : 53215-1034
Country : US
Telephone Number : 414-649-8355
Fax Number :
Provider Business Practice Location Address
First Line : 3707 N RICHARDS ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-1673
Country : US
Telephone Number : 414-967-7006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2009
Last Update Date : 10/28/2010

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