Provider Demographics
NPI:1528419223
Name:HANEY, ANITA L (APRN)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:L
Last Name:HANEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 631976
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-1976
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8000 5 MILE RD STE 305
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2188
Practice Address - Country:US
Practice Address - Phone:513-232-3500
Practice Address - Fax:513-624-2704
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3177882363LF0000X
VA0024184397363LF0000X
OHAPRNCNP022182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily