Individual
MRS. NIKKI L ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(800) 426-3452
(707) 421-7484
Mailing address
202 RIVERSIDE DR, WOODLAND, CA 95695-2924
(530) 666-5315
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
390502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390502
RN
CA
Enumeration date
12/12/2006
Last updated
07/08/2007
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