Provider Demographics
NPI:1740634708
Name:WARFIELD, ANEASHA
Entity type:Individual
Prefix:
First Name:ANEASHA
Middle Name:
Last Name:WARFIELD
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 1:1583 ESTABROOK AVE NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-1934
Mailing Address - Country:US
Mailing Address - Phone:330-219-8995
Mailing Address - Fax:
Practice Address - Street 1:1583 ESTABROOK AVE NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44485-1934
Practice Address - Country:US
Practice Address - Phone:330-219-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide