Provider Demographics
NPI:1942054556
Name:RIEMAN, ANITA ELAINE
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:ELAINE
Last Name:RIEMAN
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 1:23508 ROAD B23
Mailing Address - Street 2:
Mailing Address - City:CONTINENTAL
Mailing Address - State:OH
Mailing Address - Zip Code:45831-9472
Mailing Address - Country:US
Mailing Address - Phone:419-306-9213
Mailing Address - Fax:
Practice Address - Street 1:23508 ROAD B23
Practice Address - Street 2:
Practice Address - City:CONTINENTAL
Practice Address - State:OH
Practice Address - Zip Code:45831-9472
Practice Address - Country:US
Practice Address - Phone:419-306-9213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide