NPI 1639649692 · live from the CMS NPI Registry
Sheila P Anthony, RN
Registered Nurse, Addiction (Substance Use Disorder) in Liverpool, NY. National Provider Identifier 1639649692, active.
NPI record
| NPI | 1639649692 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Addiction (Substance Use Disorder) 163WA0400X |
| Practice location | 526 Old Liverpool Rd, Liverpool, NY 13088 |
| Practice phone | 315-453-3911 |
| Mailing address | 8435 Bubbling Springs Dr, Baldwinsville, NY 13027 |
| Enumerated | December 3, 2018 |
| Last updated | May 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 520390 (NY) |
| Registered Nurse, Addiction (Substance Use Disorder) primary | 163WA0400X | 520390 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.