Henry Asutin Anthony, NP
Nurse Practitioner, Family in Madera, CA. Individual provider (NPI-1).
NPI number1881081339
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1881081339
- Entity type
- Individual (NPI-1)
- Name
- Mr. Henry Asutin Anthony
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2015
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95002187 | CA | Yes |
| 163W00000X | Registered Nurse | 679628 | CA |
Practice location
2339 W Cleveland Ave Ste 103Madera, CA 93637-8765
Phone 559-664-4000 · Fax 559-675-5224
Mailing address
2339 W Cleveland Ave Ste 103Madera, CA 93637-8765
Phone 559-664-4000 · Fax 559-675-5224
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