Individual
MS. ANITA LOUISE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
6808 HIGHFIELD DR, DAYTON, OH 45415-1532
(937) 898-6716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250677
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250677
RN
OH
Enumeration date
10/17/2006
Last updated
07/08/2007
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