Provider Demographics
NPI:1629286109
Name:MCPHERSON, ANITA LEE (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:LEE
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:RNFA
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 29338
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9338
Mailing Address - Country:US
Mailing Address - Phone:480-820-9155
Mailing Address - Fax:480-820-3785
Practice Address - Street 1:2000 E. SOUTHERN AVW.
Practice Address - Street 2:SUITE 102
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282
Practice Address - Country:US
Practice Address - Phone:480-820-9155
Practice Address - Fax:480-820-3785
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN029380163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant