Arennette Tysha Anthony, FNP-C
Nurse Practitioner, Family in Durham, NC. Individual provider (NPI-1).
NPI number1609100528
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1609100528
- Entity type
- Individual (NPI-1)
- Name
- Arennette Tysha Anthony
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2009
- Certification date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5004488 | NC | Yes |
| 363LF0000X | Nurse Practitioner, Family | 197580 | NC |
Practice location
508 Fulton StDurham, NC 27705
Phone 919-383-6107
Mailing address
508 Fulton StDurham, NC 27705-3875
Phone 919-383-6107
Other practice locations
1593 Yanceyville St Ste 200
Greensboro, NC 27405-6950
Greensboro, NC 27405-6950
Phone 336-230-0402 · Fax 336-230-1761
916 Wolf Pack Way
Greensboro, NC 27406-8259
Greensboro, NC 27406-8259
Phone 336-558-4574
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