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NPI Code Detail

MEDICARE: MRS. LAURA LEE ANTHONY NP

MEDICARE: MRS. LAURA LEE ANTHONY NP
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
1363L00000XNurse Practitioner5018177NC
2363LN0000XNeonatal Nurse Practitioner5018177NC

General Provider Information

NPI Number : 1891486775
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA LEE ANTHONY NP
Provider Business Mailing Address
First Line : 100 KIMEL FOREST DR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-6074
Country : US
Telephone Number : 336-716-2255
Fax Number :
Provider Business Practice Location Address
First Line : 100 AIRPORT RD FL 4
Second Line :
City : KINSTON
State : NC
Zip : 28501-1604
Country : US
Telephone Number : 252-522-7197
Fax Number : 252-522-7250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2023
Last Update Date : 02/10/2026

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