Provider Demographics
NPI:1043427057
Name:VOUROS, ANITA (LPN)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:
Last Name:VOUROS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BROMPTON LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-7725
Mailing Address - Country:US
Mailing Address - Phone:561-965-8693
Mailing Address - Fax:561-734-2673
Practice Address - Street 1:9 BROMPTON LN
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-7725
Practice Address - Country:US
Practice Address - Phone:561-965-8693
Practice Address - Fax:561-734-2673
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN906951164W00000X
MA41442164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse