Provider Demographics
NPI:1902985930
Name:BIONDI, ANITA J
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:J
Last Name:BIONDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:OH
Mailing Address - Zip Code:44672-1742
Mailing Address - Country:US
Mailing Address - Phone:330-938-6782
Mailing Address - Fax:
Practice Address - Street 1:748 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:OH
Practice Address - Zip Code:44672-1742
Practice Address - Country:US
Practice Address - Phone:330-938-6782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide