Provider Demographics
NPI:1508562786
Name:MATHEWS, ANITA R
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:R
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 GREENBRIER DEAR RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207
Mailing Address - Country:US
Mailing Address - Phone:256-342-5241
Mailing Address - Fax:256-423-5243
Practice Address - Street 1:729 GREENBRIER DEAR RD
Practice Address - Street 2:SUITE C
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-342-5241
Practice Address - Fax:256-423-5243
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care