Active NPIIndividual providerSole proprietor

Michelle D Anthony, NP

Nurse Practitioner, Adult Health in Salem, Oregon

NPI Number1649314220
Practice location
5125 Skyline RD S, Salem, OR 97306-9427
Fax
—
Last updated
March 10, 2022

Michelle D Anthony, NP is a Nurse Practitioner, Adult Health based in Salem, OR. Michelle D Anthony, NP holds the professional credentials of NP. The NPI number for Michelle D Anthony, NP is 1649314220 and holds license No. RN79000 (LA). The current practice location address is 5125 Skyline RD S, Salem, OR 97306-9427 and the office can be reached by phone at 503-315-4663. The NPI was assigned on February 16, 2007 and the record was last updated in NPPES on March 10, 2022.

●Provider Profile Details

NPI Number
1649314220
Provider Name
Michelle Dezura Anthony
Credential
NP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Enumeration Date
February 16, 2007
Last Update Date
March 10, 2022
Certification Date
March 10, 2022
NPI Status
Active

◉Business Practice Location Address

Address
5125 Skyline RD S
Salem, OR 97306-9427
City
Salem
State
Oregon
ZIP
97306-9427
Country
US
Phone Number
503-315-4663

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✉Business Mailing Address

Address
5125 Skyline RD S
Salem, OR 97306-9413
City
Salem
State
OR
ZIP
97306-9413
Phone Number
503-315-4663

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Acute Care363LA2100XNoRN79000LA
Nurse Practitioner, Acute Care363LA2100XNoAP04978LA
Nurse Practitioner, Adult Health363LA2200XNoAP60436588WA
Nurse Practitioner, Adult Health363LA2200XYes201392913NP-PPOR

#Other Provider Identifiers

No legacy or other 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) and holds license No. RN79000 (LA).

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 at npiregistry.cms.hhs.gov.

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