Provider Demographics
NPI:1912204603
Name:PERKINS, ANITA CHRISTINE (RNFA)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:CHRISTINE
Last Name:PERKINS
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 1:2305 SW HAWK VIEW RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4095
Mailing Address - Country:US
Mailing Address - Phone:816-554-7166
Mailing Address - Fax:
Practice Address - Street 1:2305 SW HAWK VIEW RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-4095
Practice Address - Country:US
Practice Address - Phone:816-554-7166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO129878163WR0006X
KS13-61462163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant