Provider Demographics
NPI:1154925006
Name:GONZALEZ, ANTHIA F
Entity type:Individual
Prefix:
First Name:ANTHIA
Middle Name:F
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 LAURELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-9600
Mailing Address - Country:US
Mailing Address - Phone:614-653-4878
Mailing Address - Fax:
Practice Address - Street 1:8280 TEGMEN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-6072
Practice Address - Country:US
Practice Address - Phone:614-743-0408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker