Provider Demographics
NPI:1659885689
Name:KARTY, ANNAMIRA ROXAS (RN)
Entity Type:Individual
Prefix:
First Name:ANNAMIRA
Middle Name:ROXAS
Last Name:KARTY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANNAMIRA
Other - Middle Name:
Other - Last Name:ROXAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1373 CAMINITO VERANZA UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-3141
Mailing Address - Country:US
Mailing Address - Phone:619-251-9839
Mailing Address - Fax:
Practice Address - Street 1:3851 ROSECRANS ST RM N09
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-3115
Practice Address - Country:US
Practice Address - Phone:619-542-4135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA793074163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse