Provider Demographics
NPI:1922586874
Name:ANEBESE, MEKEDES (RN)
Entity Type:Individual
Prefix:
First Name:MEKEDES
Middle Name:
Last Name:ANEBESE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 GREENCREST DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4012
Mailing Address - Country:US
Mailing Address - Phone:713-391-7987
Mailing Address - Fax:
Practice Address - Street 1:2050 GREENCREST DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4012
Practice Address - Country:US
Practice Address - Phone:713-391-7987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX807299163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse