Individual
MS. PUSPAMALA ANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(336) 540-7067
(888) 882-3919
Mailing address
3803 N ELM ST, GREENSBORO, NC 27455-2593
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2012011721
NC
Other
Enumeration date
03/18/2013
Last updated
03/20/2013
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