Anna Anttila, RN, PHN

Individual provider Active NPI Community Health Registered Nurse · Ukiah, CA

NPI 1891209128 · NPPES record last updated Nov 22, 2017

Key facts

NPI
1891209128
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
790044 (CA)
Practice address
1120 S Dora St
Ukiah, CA 95482-6340
Phone
(707) 472-2600
NPI assigned
Nov 22, 2017
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

LicenseStateTypeSpecialty
790044CAMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 790044 CA Yes

Addresses

Primary practice location

1120 S Dora St
Ukiah, CA 95482-6340

Mailing address

1120 S Dora St
Ukiah, CA 95482-6340

Other providers in Ukiah, CA

All providers in Ukiah, CA · Community Health Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.