Provider Demographics
NPI:1912635715
Name:ANTHONY, ADEKEMI (RN)
Entity Type:Individual
Prefix:MRS
First Name:ADEKEMI
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 1:901 E LABURNUM AVE STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-2210
Mailing Address - Country:US
Mailing Address - Phone:804-557-0288
Mailing Address - Fax:
Practice Address - Street 1:901 E LABURNUM AVE STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-2210
Practice Address - Country:US
Practice Address - Phone:804-557-0288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)