Provider Demographics
NPI:1215309935
Name:HILL, ANITA MARIA (LICENSED VOCATIONAL)
Entity type:Individual
Prefix:MISS
First Name:ANITA
Middle Name:MARIA
Last Name:HILL
Suffix:
Gender:F
Credentials:LICENSED VOCATIONAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44545 3RD STREET E.
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535
Mailing Address - Country:US
Mailing Address - Phone:661-674-9435
Mailing Address - Fax:661-494-8043
Practice Address - Street 1:44545 3RD STREET E.
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535
Practice Address - Country:US
Practice Address - Phone:661-674-9435
Practice Address - Fax:661-494-8043
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN241739163WH0200X, 164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health