Individual
MRS. CLAUDIA WEIR ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1887 SPILLWAY RD, BRANDON, MS 39047
(601) 992-5532
(601) 992-5547
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(601) 984-5733
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
R864863
MS
363LF0000X
Family Nurse Practitioner
F0715496
MS
363LF0000X
Family Nurse Practitioner
Primary
R864863
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02158307
—
MS
Enumeration date
06/27/2006
Last updated
01/31/2019
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