Individual
THERESA DIANE ANZELONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2174 U S ROUTE 250, ADENA, OH 43901-6908
(724) 914-7373
Mailing address
2174 U S ROUTE 250, ADENA, OH 43901-6908
(724) 914-7373
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
84510
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84510
WV STATE BOARD OF NURSING
WV
Enumeration date
12/05/2022
Last updated
12/05/2022
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