- Practice location
- 5125 Skyline RD S, Salem, OR 97306-9427
- Phone
- 503-315-4663
- Fax
- —
- Last updated
- March 10, 2022
Michelle Dezura Anthony is a Nurse Practitioner, Adult Health based in Salem, OR. Michelle Dezura Anthony practices in Salem, OR and has the professional credentials of NP. The NPI Number for Michelle Dezura Anthony is 1649314220 and holds a License No. RN79000 (LA). The current practice location address for Michelle Dezura Anthony is 5125 Skyline RD S, Salem, OR 97306-9427 and can be reached out via phone at 503-315-4663.
Provider Profile Details
- NPI Number
- 1649314220
- Provider Name
- Michelle Dezura Anthony
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5125 Skyline RD S, Salem, OR 97306-9427
- Phone Number
- 503-315-4663
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 16, 2007
- Last Update Date
- March 10, 2022
- Certification Date
- March 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5125 Skyline RD S
Salem, OR 97306-9427 - City
- Salem
- State
- Oregon
- Zip
- 97306-9427
- Phone Number
- 503-315-4663
Provider Business Mailing Address Details
- Address
- 5125 Skyline RD S
Salem, OR 97306-9413 - City
- Salem
- State
- OR
- Zip
- 97306-9413
- Phone Number
- 503-315-4663
License Information
- License Number (1)
- RN79000
- License State (1)
- LA
- Taxonomy (1)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (2)
- AP04978
- License State (2)
- LA
- Taxonomy (2)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (3)
- AP60436588
- License State (3)
- WA
- Taxonomy (3)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (4)
- 201392913NP-PP
- License State (4)
- OR
- Taxonomy (4)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michelle D Anthony, NP?
The NPI number of Michelle D Anthony, NP is 1649314220. It was assigned on February 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Michelle D Anthony, NP?
Michelle D Anthony, NP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in LA under license number RN79000.
Where does Michelle D Anthony, NP practice?
The practice location is 5125 Skyline RD S, Salem, OR 97306-9427. The office can be reached at 503-315-4663 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649314220 directly on the NPPES registry website.