Provider Demographics
NPI:1174012413
Name:MYERS, ANITA JOYCE (NURSES AIDE)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:JOYCE
Last Name:MYERS
Suffix:
Gender:F
Credentials:NURSES AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7631 ROZELLE CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2610
Mailing Address - Country:US
Mailing Address - Phone:513-678-4180
Mailing Address - Fax:513-619-4599
Practice Address - Street 1:7631 ROZELLE CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2610
Practice Address - Country:US
Practice Address - Phone:513-678-4180
Practice Address - Fax:513-619-4599
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide