Provider Demographics
NPI:1740914886
Name:MUREKATETE, ANITA
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:MUREKATETE
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 1:216 TANDBERG TRL
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-5104
Mailing Address - Country:US
Mailing Address - Phone:207-409-8459
Mailing Address - Fax:
Practice Address - Street 1:216 TANDBERG TRL
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5104
Practice Address - Country:US
Practice Address - Phone:207-409-8459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health