Individual
MRS. KATIE MICHELLE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2706 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 734-4736
Mailing address
2706 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
5009467
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9353737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008218800
—
FL
Enumeration date
01/12/2013
Last updated
03/30/2021
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