Rebecca Anthony, RN
Individual provider Active NPI Registered Nurse · Fairfield, IL
NPI 1750765004 · NPPES record last updated Jul 16, 2015
Key facts
- NPI
- 1750765004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041270810 (IL)
- Practice address
- 209 NW 11TH St
Fairfield, IL 62837-1218 - Phone
- (618) 842-4470
- NPI assigned
- Jul 16, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041270810 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041270810 | IL | Yes |
Addresses
Primary practice location
209 NW 11TH St
Fairfield, IL 62837-1218
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401
Other names
- Rebecca L Malinowski
Other providers in Fairfield, IL
- Advanced Healthcare Clinic LLC
- Aperion Care Fairfield LLC
- Aperion Care Fairfield LLC
- Mavis A Aslinger
- Katelyn Atteberry
- Makenzie Baker X
All providers in Fairfield, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.