Provider Demographics
NPI:1316746753
Name:ARMSTEAD, ANITA MICHELLE
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:MICHELLE
Last Name:ARMSTEAD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5255 IDLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45432-3556
Mailing Address - Country:US
Mailing Address - Phone:573-337-4508
Mailing Address - Fax:
Practice Address - Street 1:368 FOREST ST
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-3204
Practice Address - Country:US
Practice Address - Phone:573-337-4508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula