Provider Demographics
NPI:1477939353
Name:ANTHONY, GUESTA (LVN)
Entity Type:Individual
Prefix:
First Name:GUESTA
Middle Name:
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15502 HUDDLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6059
Mailing Address - Country:US
Mailing Address - Phone:832-943-0709
Mailing Address - Fax:
Practice Address - Street 1:10927 BARKER GATE CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2341
Practice Address - Country:US
Practice Address - Phone:832-943-0709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225268164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse