Provider Demographics
NPI:1265971998
Name:ANTHONY, SAMINA (RN)
Entity type:Individual
Prefix:
First Name:SAMINA
Middle Name:
Last Name:ANTHONY
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 1:1530 8TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-1883
Mailing Address - Country:US
Mailing Address - Phone:484-866-7999
Mailing Address - Fax:
Practice Address - Street 1:1530 8TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-1883
Practice Address - Country:US
Practice Address - Phone:484-866-7999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN639794163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse