Provider Demographics
NPI:1518192129
Name:NZIKA, ANTHONIA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ANTHONIA
Middle Name:
Last Name:NZIKA
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 1:4290 MACSWAY AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4257
Mailing Address - Country:US
Mailing Address - Phone:614-937-2314
Mailing Address - Fax:614-863-9601
Practice Address - Street 1:4290 MACSWAY AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4257
Practice Address - Country:US
Practice Address - Phone:614-937-2314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.373372163W00000X
OHPN128658164W00000X
OHAPRN.CNP.0035450363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse