Anthony, Keata Lorraine

Anthony, Keata Lorraine is an individual health care provider with primary practice located at 116 W Main St , Henderson TN 38340-4003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anthony, Keata Lorraine can be contacted via phone (731) 989-0001.

Contact Information

Primary practice address
116 W Main St Henderson TN 38340-4003
Phone: (731) 989-0001
Fax: (731) 989-5151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN#6159 Tennessee

Profile Details

NPI number 1952351355
LBN Legal business name Anthony, Keata Lorraine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952351355 NPPES
Tennessee Other 621620777 TRICARE
Tennessee Other 4052228 TRICARE
Tennessee MEDICAID 3908653 TRICARE

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