Provider Demographics
NPI:1023398393
Name:ARMAN, ANTONRIA LANEE (RN)
Entity Type:Individual
Prefix:
First Name:ANTONRIA
Middle Name:LANEE
Last Name:ARMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63032-0570
Mailing Address - Country:US
Mailing Address - Phone:314-532-9026
Mailing Address - Fax:314-942-2086
Practice Address - Street 1:6853 FOXBEND CT
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-4808
Practice Address - Country:US
Practice Address - Phone:314-532-9026
Practice Address - Fax:314-942-2086
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009024203163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse