Provider Demographics
NPI:1588537948
Name:ANDERSON CURTIS, ANTONIA MELISSA (RN, PNP-PC STUDENT)
Entity type:Individual
Prefix:MRS
First Name:ANTONIA
Middle Name:MELISSA
Last Name:ANDERSON CURTIS
Suffix:
Gender:F
Credentials:RN, PNP-PC STUDENT
Other - Prefix:
Other - First Name:ANTONIA
Other - Middle Name:
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, PNP-PC STUDENT
Mailing Address - Street 1:152 KIMBERLY RD
Mailing Address - Street 2:
Mailing Address - City:EAST GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06026-9544
Mailing Address - Country:US
Mailing Address - Phone:919-684-3786
Mailing Address - Fax:
Practice Address - Street 1:307 TRENT DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3038
Practice Address - Country:US
Practice Address - Phone:919-684-3786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program